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NPI Code Detail

MEDICARE: GREGG A ALEXANDER MD

MEDICARE: GREGG A ALEXANDER MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician019630GA
2207Q00000XFamily Medicine PhysicianME32564FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1093718868
Entity Type Code : Individual
Provider Name (Legal Business Name) : GREGG A ALEXANDER MD
Provider Business Mailing Address
First Line : 3334 CAPITAL MEDICAL BLVD
Second Line : STE. 400
City : TALLAHASSEE
State : FL
Zip : 32308-8405
Country : US
Telephone Number : 850-877-8174
Fax Number : 850-877-5636
Provider Business Practice Location Address
First Line : 3334 CAPITAL MEDICAL BLVD
Second Line : STE 400
City : TALLAHASSEE
State : FL
Zip : 32308-4470
Country : US
Telephone Number : 850-877-8174
Fax Number : 850-877-5636
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2005
Last Update Date : 03/11/2013

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Directions to “ GREGG A ALEXANDER MD” Practice Location

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