Individual
ALEXANDRA IVESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
274 BIG A ROAD, TOCCOA, GA 30577-6002
(706) 886-3169
(706) 282-5371
Mailing address
274 BIG A ROAD, TOCCOA, GA 30577-6002
(706) 886-3169
(706) 282-5371
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
159202
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
676431619ABC
—
GA
Enumeration date
08/24/2005
Last updated
05/09/2008
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