Individual
MARY ALEXANDER-ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
705 DALLAS HWY STE 101, VILLA RICA, GA 30180-1243
(770) 459-4411
(770) 459-1895
Mailing address
705 DALLAS HWY STE 101, VILLA RICA, GA 30180-1243
(770) 459-4411
(770) 459-1895
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4330
GA
Other
Enumeration date
04/10/2007
Last updated
06/23/2010
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