Miriam Denise Alexander

NPI #1477103711 in Valdosta, Georgia

Provider Information

NPI Number: 1477103711
Entity Type: Individual
Name: Miriam Denise Alexander
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Contractor
Enumeration Date: Sep 18, 2019
Last Updated: Sep 18, 2019

Practice Location

Address: 1107 TIMBER LINE DR
City: Valdosta
State: Georgia
ZIP Code: 31602-3730
Phone: (706) 496-1485

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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