Individual
ALEXANDRIA MARIE PONKRATZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1021 W WILLIAMS ST STE 105, APEX, NC 27502-3956
(919) 290-1090
Mailing address
1021 W WILLIAMS ST STE 105, APEX, NC 27502-3956
(919) 290-1090
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2022-00431
NC
390200000X
Student in an Organized Health Care Education/Training Program
250504
NC
Other
Enumeration date
04/23/2019
Last updated
08/15/2022
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