Alexander, Elmore Dean

Alexander, Elmore Dean is an individual health care provider with primary practice located at 374 Osprey Point , Stone Mountain GA 30087-6163. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Alexander, Elmore Dean can be contacted via phone (678) 694-8258.

Contact Information

Primary practice address
374 Osprey Point Stone Mountain GA 30087-6163
Phone: (678) 694-8258
Fax: (678) 805-0077
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 033908 Georgia

Profile Details

NPI number 1851454391
LBN Legal business name Alexander, Elmore Dean
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 18th, 2006
Last updated Jun 21st, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851454391 NPPES
Georgia MEDICAID 000467123C

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