Individual
DR. JUSTIN JACOB ALEXANDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 GLENLAKE PKWY STE 700, ATLANTA, GA 30328-3496
(205) 427-4375
Mailing address
1 GLENLAKE PKWY, STE 700, ATLANTA, GA 30328-3448
(205) 427-4375
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
2014 - 01069
NC
208100000X
Physical Medicine & Rehabilitation Physician
Primary
74102
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003164709A
—
GA
05
—
003164709B
—
GA
05
—
003164709C
—
GA
Enumeration date
07/11/2010
Last updated
02/03/2016
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