Provider Demographics
NPI:1386224996
Name:COLT, ALEXANDRA ADARE (MD)
Entity type:Individual
Prefix:DR
First Name:ALEXANDRA
Middle Name:ADARE
Last Name:COLT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:19830 ZION AVE
Mailing Address - Street 2:
Mailing Address - City:CORNELIUS
Mailing Address - State:NC
Mailing Address - Zip Code:28031-8495
Mailing Address - Country:US
Mailing Address - Phone:704-384-1782
Mailing Address - Fax:
Practice Address - Street 1:19830 ZION AVE
Practice Address - Street 2:
Practice Address - City:CORNELIUS
Practice Address - State:NC
Practice Address - Zip Code:28031-8495
Practice Address - Country:US
Practice Address - Phone:704-384-1782
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-09
Last Update Date:2024-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC304827207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine