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NPI Code Detail

MEDICARE: ALEXANDER GEORGE EMERSON MD

MEDICARE:   ALEXANDER GEORGE EMERSON  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
1207K00000XAllergy & Immunology Physician60954KY
2207R00000XInternal Medicine Physician60954KY
3208000000XPediatrics Physician60954KY

General Provider Information

NPI Number : 1699208421
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXANDER GEORGE EMERSON MD
Provider Business Mailing Address
First Line : 2944 BRECKENRIDGE LN
Second Line :
City : LOUISVILLE
State : KY
Zip : 40220-1409
Country : US
Telephone Number : 502-995-5525
Fax Number : 502-280-1419
Provider Business Practice Location Address
First Line : 2944 BRECKENRIDGE LN
Second Line :
City : LOUISVILLE
State : KY
Zip : 40220-1409
Country : US
Telephone Number : 502-995-5525
Fax Number : 502-280-1419
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2017
Last Update Date : 01/12/2026

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