Individual
MS. ALEXANDRA CHRISTINE ANTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MMS, PA-C
Contact information
Practice address
2400 PRATT ST FL 5, DURHAM, NC 27705-3976
(919) 668-2149
Mailing address
306 CORAL DR, WRIGHTSVILLE BEACH, NC 28480-2736
(607) 426-8418
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-12336
NC
363A00000X
Physician Assistant
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0010-12336
NC MEDICAL BOARD PA LICENSE
NC
Enumeration date
06/14/2022
Last updated
06/14/2022
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