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Organization
JAMES G ALEXANDER JR DDS MD PLLC
Active
Organization
JAMES G ALEXANDER JR DDS MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES G ALEXANDER JR. M.D. (PLLC MEMBER)
(870) 735-1152
Entity
Organization
Contact information
Practice address
228 W TYLER AVE, STE 307, WEST MEMPHIS, AR 72301-4223
(870) 735-1152
(870) 735-4098
Mailing address
228 W TYLER AVE STE 307, P.O. BOX 907, WEST MEMPHIS, AR 72303-0907
(870) 735-1152
(870) 735-4098
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
AR3562
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112939001
—
AR
01
—
4112951
TENNESSEE BCBS
TN
05
—
4185464
—
TN
01
—
50999
ABCBS
AR
01
—
59309
AR M'CARE GROUP PTAN
AR
01
—
DD2979
RR MEDICARE GROUP PTAN
—
01
—
P00219773
RR MEDICARE INDIVIDUAL PTAN
—
Enumeration date
04/06/2007
Last updated
11/17/2008
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