Organization
W ALEXANDRA DA SOUZA MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. W ALEXANDRA DA SOUZA MD (PRESIDENT)
(912) 510-9100
Entity
Organization
Contact information
Practice address
124 ANDREWS WAY, SUITE A, KINGSLAND, GA 31548-6860
(912) 510-9100
(912) 510-9269
Mailing address
124 ANDREWS WAY, SUITE A, KINGSLAND, GA 31548-6860
(912) 510-9100
(912) 510-9269
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
042556
GA
Other
Enumeration date
07/10/2008
Last updated
09/10/2008
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