MEDICARE: LINDA DOBBINS ALEXANDER

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
1	104100000X	Social Worker	P012281	NC

General Provider Information

NPI Number	:	1982180980
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDA DOBBINS ALEXANDER

Provider Business Mailing Address
First Line	:	5685 ANGEL OAKS DR
Second Line	:
City	:	WINSTON SALEM
State	:	NC
Zip	:	27105-9115
Country	:	US
Telephone Number	:	336-782-1628
Fax Number	:

Provider Business Practice Location Address
First Line	:	3409 W WENDOVER AVE STE I
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27407-1579
Country	:	US
Telephone Number	:	336-897-2375
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/13/2018
Last Update Date	:	07/13/2018

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