Individual
JEFF DAVID ALEXANDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2724 WADE HAMPTON BLVD STE C, GREENVILLE, SC 29615-1110
(864) 263-3302
(972) 323-7607
Mailing address
2724 WADE HAMPTON BLVD STE C, GREENVILLE, SC 29615-1110
(864) 263-3302
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
42D2185432
SC
Other
Enumeration date
09/16/2020
Last updated
09/16/2020
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