Healthcare Provider Details

I. General information

NPI: 1164566006
Provider Name (Legal Business Name): JAMES C. ALEXANDER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/16/2007
Last Update Date: 11/27/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

530 ABERDEEN RD
HAMPTON VA
23661-1344
US

IV. Provider business mailing address

1269 SOUTHFIELD PL
VIRGINIA BEACH VA
23452-4636
US

V. Phone/Fax

Practice location:
  • Phone: 757-825-1100
  • Fax: 757-838-2034
Mailing address:
  • Phone: 757-306-3394
  • Fax: 757-306-3395

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number0101059337
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number25686
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: