Individual
ALEXANDRA JILLAYNE GIEDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2630 E 7TH ST, CHARLOTTE, NC 28204-4318
(704) 355-9584
Mailing address
2641 SHENANDOAH AVE, CHARLOTTE, NC 28205-6122
(240) 418-8382
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
125077001
IL
207QB0002X
Obesity Medicine (Family Medicine) Physician
Primary
2023-01867
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/20/2020
Last updated
10/10/2023
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