Organization
WIREGRASS DERMATOLOGY, LLC
Active
Other names
Wiregrass Dermatology of Alabama, Andrea Alexander MD, LLC, Wiregrass Dermatology, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREA GARCIA ALEXANDER MD (OFFICER/OWNER)
(229) 524-2808
Entity
Organization
Contact information
Practice address
804 N WILEY AVE, DONALSONVILLE, GA 39845-1120
(229) 524-2808
(229) 524-2738
Mailing address
804 N WILEY AVE, DONALSONVILLE, GA 39845-1120
(229) 524-2808
(229) 524-1068
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1255798047
PA NPI
—
01
—
1346433521
MD NPI
—
Enumeration date
02/04/2022
Last updated
01/26/2023
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