Individual
ALEXANDER MANSON WAITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
105 N CRUTCHFIELD ST # 2, DOBSON, NC 27017-8804
(336) 789-2922
(336) 789-0856
Mailing address
PO BOX 325, DOBSON, NC 27017-0325
(336) 789-2922
(336) 789-0856
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0102207506
VA
207Q00000X
Family Medicine Physician
Primary
2008-01963
NC
207Q00000X
Family Medicine Physician
OS10189
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
154MR
BCBS OF NC
NC
05
—
5913821
—
NC
01
—
P00835720
RAILROAD MEDICARE PTAN
NC
Enumeration date
05/21/2008
Last updated
02/06/2024
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