Mark Brian Alexander, NP
Nurse Practitioner in Spartanburg, SC. Individual provider (NPI-1).
NPI number1871065003
StatusActive
Last updated in NPPESDec 7, 2020
Details
- NPI
- 1871065003
- Entity type
- Individual (NPI-1)
- Name
- Mark Brian Alexander
- Credential
- NP
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 28, 2018
- Certification date
- Dec 7, 2020
- Last updated
- Dec 7, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 22490 | SC | Yes |
Practice location
101 E Wood St Ste 401Spartanburg, SC 29303-3040
Phone 864-560-6654 · Fax 864-560-7353
Mailing address
Po Box 743070Atlanta, GA 30374-3070
Phone 864-560-4304 · Fax 864-560-4413
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