Individual provider · NPI-1
Gregg A Alexander, MD
Family Medicine · Tallahassee, FL
NPI number1093718868
StatusActive
Last updated in NPPESMar 11, 2013
Details
- NPI
- 1093718868
- Entity type
- Individual (NPI-1)
- Name
- Gregg A Alexander
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 24, 2005
- Last updated
- Mar 11, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | ME32564 | FL | Yes |
| 207Q00000X | Family Medicine | 019630 | GA |
Practice location
3334 Capital Medical BlvdSte 400
Tallahassee, FL 32308-4470
Phone 850-877-8174 · Fax 850-877-5636
Mailing address
3334 Capital Medical BlvdSte. 400
Tallahassee, FL 32308-8405
Phone 850-877-8174 · Fax 850-877-5636
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