Individual
MR. EMORY JEVODE ALEXANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1900 10TH AVE SUITE 320, COLUMBUS, GA 31901
(706) 653-6635
(706) 653-8543
Mailing address
1900 10TH AVE SUITE 320, COLUMBUS, GA 31901
(706) 653-6635
(706) 653-8543
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
39717
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00661922C
—
GA
01
—
K884
ALA MEDICARE
AL
Enumeration date
11/14/2006
Last updated
08/16/2007
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