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Organization

NEVILLE A ALEXANDER DPM PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NEVILLE ALEXANDER (DPM)
(678) 520-7920
Entity
Organization

Contact information

Practice address
535 ASTON HALL WAY, ALPHARETTA, GA 30022-6634
(678) 520-7920
Mailing address
535 ASTON HALL WAY, ALPHARETTA, GA 30022-6634
(678) 520-7920

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
POD001042
MEDICAL LICENSE
GA
Enumeration date
12/16/2018
Last updated
07/13/2020
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