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NPI Code Detail

MEDICARE: ALEXANDRA DEVER

MEDICARE: ALEXANDRA DEVER
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
1101YM0800XMental Health Counselor

Other Identifiers

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

General Provider Information

NPI Number : 1669994216
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXANDRA DEVER
Provider Business Mailing Address
First Line : 1921 WHITTLESEY RD STE 400
Second Line :
City : COLUMBUS
State : GA
Zip : 31904-9211
Country : US
Telephone Number : 706-571-7771
Fax Number :
Provider Business Practice Location Address
First Line : 1921 WHITTLESEY RD STE 400
Second Line :
City : COLUMBUS
State : GA
Zip : 31904-9211
Country : US
Telephone Number : 706-571-7771
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2017
Last Update Date : 07/21/2022

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Directions to “ ALEXANDRA DEVER ” Practice Location

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