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Individual
ALEXANDER M. PATRICK
Active
Individual
ALEXANDER M. PATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5718
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
057182
—
SC
01
—
080193482
RR MEDICARE
SC
01
—
1585402
CIGNA ID
SC
01
—
4263685
AETNA ID
SC
01
—
571004971007
BCBS OF SC ID
SC
Enumeration date
06/15/2006
Last updated
05/20/2008
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