Individual
ALEXANDRA EWA WALCZYSZYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
700 W ROOSEVELT BLVD, MONROE, NC 28110-3437
(980) 993-7300
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2021-02255
NC
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
2021-02255
NC
2080H0002X
Pediatric Hospice and Palliative Medicine Physician
2021-02255
NC
Other
Enumeration date
04/29/2014
Last updated
07/15/2024
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