| James G Alexander Jr Dds Md Pllc | |
|
228 W Tyler Ave Ste 307 West Memphis AR 72301-4223 | |
| (870) 735-1152 | |
| (870) 735-4098 |
| Full Name | James G Alexander Jr Dds Md Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 228 W Tyler Ave, West Memphis, Arkansas |
| Authorized Official Name and Position | James G Alexander (PLLC MEMBER) |
| Authorized Official Contact | 8707351152 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| James G Alexander Jr Dds Md Pllc 228 W Tyler Ave Ste 307 P.o. Box 907 West Memphis AR 72303-0907 Ph: (870) 735-1152 | James G Alexander Jr Dds Md Pllc 228 W Tyler Ave Ste 307 West Memphis AR 72301-4223 Ph: (870) 735-1152 |
| NPI Number | 1255454336 |
|---|---|
| Provider Enumeration Date | 04/06/2007 |
| Last Update Date | 11/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255454336 | NPI | - | NPPES |
| 112939001 | Medicaid | AR | |
| 4185464 | Medicaid | TN | |
| 50999 | Other | AR | ABCBS |
| 59309 | Other | AR | AR M'CARE GROUP PTAN |
| P00219773 | Other | RR MEDICARE INDIVIDUAL PTAN | |
| 4112951 | Other | TN | TENNESSEE BCBS |
| DD2979 | Other | RR MEDICARE GROUP PTAN | |
| 50999 | Other | AR | AR M'CARE GROUP MBR PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | AR3562 (Arkansas) | Primary |
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