Provider Demographics
NPI:1619627080
Name:BURNHAM, ALEXANDRA ANDREWS (DO)
Entity type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:ANDREWS
Last Name:BURNHAM
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:ALEXANDRA
Other - Middle Name:DENISE
Other - Last Name:ANDREWS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:2440 SANDRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:MS
Mailing Address - Zip Code:39211-6203
Mailing Address - Country:US
Mailing Address - Phone:205-441-7773
Mailing Address - Fax:
Practice Address - Street 1:101 MEDICAL PARK
Practice Address - Street 2:
Practice Address - City:HATTIESBURG
Practice Address - State:MS
Practice Address - Zip Code:39401-9042
Practice Address - Country:US
Practice Address - Phone:601-579-3000
Practice Address - Fax:601-584-4727
Is Sole Proprietor?:No
Enumeration Date:2022-03-28
Last Update Date:2025-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS34743208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics