Individual
ALEXANDER M. PATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
81 POINTE CIR, GREENVILLE, SC 29615-3505
(864) 232-0321
(864) 232-7019
Mailing address
7 INDEPENDENCE PT, SUITE 140, GREENVILLE, SC 29615-4566
(864) 797-6044
(864) 797-6195
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5718
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
057182
—
SC
01
—
080193482
RR MEDICARE
SC
01
—
1585402
CIGNA ID
SC
01
—
4263685
AETNA ID
SC
01
—
571004971007
BCBS OF SC ID
SC
Enumeration date
06/15/2006
Last updated
05/20/2008
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