Individual
ALEXA FERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1606 REGENTS PKWY, COMMONS 3, LYNCHBURG, VA 24502
(434) 338-7774
Mailing address
1606 REGENTS PKWY, COMMONS 3, LYNCHBURG, VA 24502
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110-007899
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
686024
MEDICARE GROUP
PA
Enumeration date
09/19/2016
Last updated
09/17/2021
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