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NPI Code Detail

MEDICARE: ALEXANDER ROBERT BEARUP CAA

MEDICARE:   ALEXANDER ROBERT BEARUP  CAA
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
1367H00000XAnesthesiologist Assistant13752GA

General Provider Information

NPI Number : 1790637213
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXANDER ROBERT BEARUP CAA
Provider Business Mailing Address
First Line : 1488 JESSE JEWELL PKWY SE STE 201
Second Line :
City : GAINESVILLE
State : GA
Zip : 30501-3804
Country : US
Telephone Number : 770-532-7179
Fax Number :
Provider Business Practice Location Address
First Line : 743 SPRING ST NE
Second Line :
City : GAINESVILLE
State : GA
Zip : 30501-3899
Country : US
Telephone Number : 770-532-7179
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/10/2026
Last Update Date : 02/10/2026

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Directions to “ ALEXANDER ROBERT BEARUP CAA” Practice Location

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