NPI 1720154594 · live from the CMS NPI Registry
David Lee Alexander, PA
Physician Assistant in Conyers, GA. National Provider Identifier 1720154594, active.
NPI record
| NPI | 1720154594 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 1412 Milstead Ave Ne, Conyers, GA 30012 |
| Practice phone | 404-605-2800 |
| Mailing address | 1484 Tether Ln, Mcdonough, GA 30253 |
| Enumerated | November 25, 2006 |
| Last updated | October 3, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine, Cardiovascular Disease | 207RC0000X | 004894 (GA) |
| Physician Assistant primary | 363A00000X | 4894 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.