Individual
JOHN C ALEXANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1638 OWEN DR, FAYETTEVILLE, NC 28304-3424
(910) 615-5610
(910) 615-5080
Mailing address
1638 OWEN DR, FAYETTEVILLE, NC 28304-3424
(910) 615-5610
(910) 615-5080
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
036068781
IL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
17929
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036068781
—
IL
01
—
1620385
BLUE SHIELD
IL
01
—
P00319665
RAILROAD MEDICARE
IL
Enumeration date
08/10/2006
Last updated
02/10/2014
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