Individual
MS. ALEXANDRA BLISS COLARUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7940 WILLIAMS POND LN STE 150, CHARLOTTE, NC 28277-8409
(704) 247-8355
Mailing address
11035 GOLF LINKS DR # 79217, CHARLOTTE, NC 28277-8045
(704) 247-8355
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-09236
NC
Other
Enumeration date
10/26/2017
Last updated
01/28/2021
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