Individual
DR. ALEXANDRE KRISTIAN EACCARINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
11975 MORRIS RD STE 200, ALPHARETTA, GA 30005-4444
(770) 410-4388
Mailing address
5780 PEACHTREE DUNWOODY RD STE 300, ATLANTA, GA 30342-1513
(404) 433-5650
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
067211
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003136311A
—
GA
01
—
202I425668
MEDICARE
GA
Enumeration date
04/20/2009
Last updated
07/21/2022
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