Individual
MR. ALEX PIERCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1013 E 1ST ST, VIDALIA, GA 30474-4227
(912) 538-7702
Mailing address
200 VIRGINIA WAY, VIDALIA, GA 30474-4314
(912) 537-2779
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4748
GA
Other
Enumeration date
12/12/2006
Last updated
07/08/2007
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