Individual
MICHAEL S ALEXANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3623 LATROBE DRIVE, STE 216, CHARLOTTE, NC 28211
(704) 332-1291
(704) 332-5206
Mailing address
PO BOX 221249, CHARLOTTE, NC 28222-1249
(704) 332-1291
(704) 332-5206
Taxonomy
Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
28453
NC
2085R0202X
Diagnostic Radiology Physician
0101051899
VA
2085R0202X
Diagnostic Radiology Physician
Primary
28453
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8911979
—
NC
Enumeration date
08/05/2006
Last updated
08/04/2009
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