Organization
ELMORE ALEXANDER D.O.,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIANE ALEXANDER (MANAGER)
(678) 371-2204
Entity
Organization
Contact information
Practice address
374 OSPREY PT, STONE MOUNTAIN, GA 30087-6163
(678) 371-2204
(678) 805-0077
Mailing address
374 OSPREY PT, STONE MOUNTAIN, GA 30087-6163
(678) 371-2204
(678) 805-0077
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
033908
GA
Other
Enumeration date
06/23/2014
Last updated
06/23/2014
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