Individual
ALEXANDRA SEABORG BARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
15830 BALLANTYNE MEDICAL PL STE 175, CHARLOTTE, NC 28277-0763
(704) 323-7633
(704) 709-5384
Mailing address
15830 BALLANTYNE MEDICAL PL STE 175, CHARLOTTE, NC 28277-0763
(704) 323-7633
(704) 709-5384
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-16195
NC
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/28/2025
Last updated
04/06/2026
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