Individual
MRS. ALEXANDRA LYLE RATELIFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1600 HIGHWAY 17 N, SURFSIDE BEACH, SC 29575-6015
(843) 238-1461
Mailing address
4607 PINE LAKE DR, MYRTLE BEACH, SC 29577-2640
(843) 995-3090
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
SC
Other
Enumeration date
07/03/2018
Last updated
04/05/2021
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