Provider Demographics
NPI:1487778957
Name:ALEXANDER, JAMES WASHINGTON (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:WASHINGTON
Last Name:ALEXANDER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3546 COVINGTON HWY
Mailing Address - Street 2:SUITE A
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30032-1850
Mailing Address - Country:US
Mailing Address - Phone:404-298-1442
Mailing Address - Fax:404-298-1642
Practice Address - Street 1:3546 COVINGTON HWY
Practice Address - Street 2:SUITE A
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30032-1850
Practice Address - Country:US
Practice Address - Phone:404-298-1442
Practice Address - Fax:404-298-1642
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA12993207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000006432AMedicaid
GAD44692Medicare UPIN