Individual
DR. ELMORE DEAN ALEXANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
374 OSPREY POINT, STONE MOUNTAIN, GA 30087-6163
(678) 694-8258
(678) 805-0077
Mailing address
374 OSPREY PT, STONE MOUNTAIN, GA 30087-6163
(678) 694-8258
(678) 805-0077
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
033908
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000467123C
—
GA
Enumeration date
12/18/2006
Last updated
06/21/2014
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