Individual
DR. ALEXANDER R BOTTINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1255 FRIENDSHIP RD STE 160, BRASELTON, GA 30517-5618
(678) 528-1101
(678) 528-3254
Mailing address
1255 FRIENDSHIP RD STE 160, BRASELTON, GA 30517-5618
(678) 528-1101
(678) 528-3254
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
2019014155
MO
207WX0107X
Retina Specialist (Ophthalmology) Physician
2019014155
MO
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
87920
GA
Other
Enumeration date
04/07/2015
Last updated
10/15/2023
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