Alexander, Ruben Antonio

Alexander, Ruben Antonio is an individual health care provider with primary practice located at 4367 New Snapfinger Woods Dr , Decatur GA 30035-2920. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Alexander, Ruben Antonio can be contacted via phone (770) 981-2008.

Contact Information

Primary practice address
4367 New Snapfinger Woods Dr Decatur GA 30035-2920
Fax: (770) 981-6302
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 001815 Georgia

Profile Details

NPI number 1669578969
LBN Legal business name Alexander, Ruben Antonio
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2006
Last updated May 10th, 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 1669578969 NPPES
Georgia MEDICAID 100002006A

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