Individual
MYRNA ALEXANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2500 NORTH STATE STREET, JACKSON, MS 39216-4608
(601) 984-5678
Mailing address
2500 NORTH STATE STREET, JACKSON, MS 39216-4500
(601) 984-5678
(601) 984-5638
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
14525
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0115251
—
MS
05
—
138225
—
AL
Enumeration date
07/28/2006
Last updated
10/10/2013
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