Individual
ALEXANDRA LEE MACALLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5030 GEORGIA BELLE CT # 2036, NORCROSS, GA 30093-2667
(678) 209-2745
Mailing address
2706 DREW VALLEY RD NE, BROOKHAVEN, GA 30319-3712
(919) 452-1994
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
0024187601
VA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN333898
GA
Other
Enumeration date
08/09/2023
Last updated
01/07/2025
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