William Alexander
Individual provider Active NPI Internal Medicine Physician · Brookhaven, GA
NPI 1578079513 · NPPES record last updated Dec 27, 2017
Key facts
- NPI
- 1578079513
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 23886 (GA)
- Practice address
- 4170 Ashford Dunwoody Rd NE Ste 100
Brookhaven, GA 30319-1457 - Phone
- (678) 587-4869
- NPI assigned
- Dec 27, 2017
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23886 | GA | MD | Internal Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 23886 | GA | Yes |
Addresses
Primary practice location
4170 Ashford Dunwoody Rd NE Ste 100
Brookhaven, GA 30319-1457
Mailing address
4170 Ashford Dunwoody Rd NE Ste 100
Brookhaven, GA 30319-1457
Phone (678) 587-4869
Other providers in Brookhaven, GA
- John Frederick Agel Jr.
- Agilitas USA, Inc
- Daniele Albert
- Rose Alcime
- Jamilet Cristy Alegria
- Yamini Alla
- John Leatherbury Allen
- Undre Cordell Allen
- Alpha Athletic Development LLC
- Anastasia Brown Alvarado
All providers in Brookhaven, GA · Internal Medicine Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 27, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.