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MR. ALEXANDER DOUGLAS LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
1901 S HAWTHORNE RD STE 310, WINSTON SALEM, NC 27103-3915
(336) 448-2427
(336) 765-2869
Mailing address
1830 S HAWTHORNE RD, WINSTON SALEM, NC 27103-4014
(336) 448-2427

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-13644
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0010-13644
NCMB LICENSE
NC
Enumeration date
06/07/2023
Last updated
01/16/2024
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