| W Alexandra Da Souza Md Pc | |
|
124 Andrews Way Suite A Kingsland GA 31548-6860 | |
| (912) 510-9100 | |
| (912) 510-9269 |
| Full Name | W Alexandra Da Souza Md Pc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 124 Andrews Way, Kingsland, Georgia |
| Authorized Official Name and Position | W Alexandra Da Souza (PRESIDENT) |
| Authorized Official Contact | 9125109100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| W Alexandra Da Souza Md Pc 124 Andrews Way Suite A Kingsland GA 31548-6860 Ph: (912) 510-9100 | W Alexandra Da Souza Md Pc 124 Andrews Way Suite A Kingsland GA 31548-6860 Ph: (912) 510-9100 |
| NPI Number | 1326202193 |
|---|---|
| Provider Enumeration Date | 07/10/2008 |
| Last Update Date | 09/10/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326202193 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 042556 (Georgia) | Primary |
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