Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0505X | Family Doctor - Adult Medicine | 0101059337 | VA |
N | 207QA0505X | Family Doctor - Adult Medicine | 25686 | NC |
NPI | 1164566006 |
---|---|
Provider Name | James C. Alexander |
First Address | Virginia Beach, VA 23452-4636 |
Second Address | Hampton, VA 23661-1344 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/02/2007 |
Last Update Date | 27/11/2007 |