Individual
WELLESLEY E ALEXANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 E WOOD ST STE 401, SPARTANBURG, SC 29303-3040
(864) 560-6654
(864) 560-7353
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
27910
SC
208M00000X
Hospitalist Physician
Primary
27910
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
279103
—
SC
05
—
5902099
—
NC
01
—
7684733
AETNA
SC
01
—
AA10179068
MEDICARE PIN
SC
01
—
E4394
MEDCOST
SC
01
—
P00896584
RAILROAD MEDICARE
SC
Enumeration date
03/08/2006
Last updated
11/16/2020
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