Alexander, Omar Boston

Alexander, Omar Boston is an individual health care provider with primary practice located at 701 Grove Rd Fl 5 , Greenville SC 29605-4210. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Alexander, Omar Boston can be contacted via phone (864) 455-4411.

Contact Information

Primary practice address
701 Grove Rd Fl 5 Greenville SC 29605-4210
Phone: (864) 455-4411
Fax: (864) 455-4480
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X LL31132 South Carolina
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 31132 South Carolina

Profile Details

NPI number 1679735047
LBN Legal business name Alexander, Omar Boston
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2008
Last updated Jul 19th, 2021 - about 4 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 1679735047 NPPES
South Carolina MEDICAID 311326
South Carolina MEDICAID GP5407

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