W Alexandra Da Souza MD PC

NPI #1326202193 in Kingsland, Georgia

Provider Information

NPI Number
1326202193
Entity Type
Organization
Organization Name
W Alexandra Da Souza MD PC
Primary Specialty
Clinic/Center - Primary Care
Enumeration Date
Jul 10, 2008
Last Updated
Sep 10, 2008

Practice Location

Address
124 ANDREWS WAY
Address 2
SUITE A
State
Georgia
ZIP Code
31548-6860
Phone
(912) 510-9100

Authorized Official

Name
DR. W ALEXANDRA DA SOUZA, MD
Title
PRESIDENT
Phone
(912) 510-9100

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Primary CarePrimary Care

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