Provider Demographics
NPI:1902047699
Name:ALEXANDER, WILLIAM NATHANIAL (DC)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:NATHANIAL
Last Name:ALEXANDER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1500 N HARPER ROAD EXT
Mailing Address - Street 2:STE 2
Mailing Address - City:CORINTH
Mailing Address - State:MS
Mailing Address - Zip Code:38834-3700
Mailing Address - Country:US
Mailing Address - Phone:662-286-8868
Mailing Address - Fax:662-286-3646
Practice Address - Street 1:1500 N HARPER ROAD EXT
Practice Address - Street 2:STE 2
Practice Address - City:CORINTH
Practice Address - State:MS
Practice Address - Zip Code:38834-3700
Practice Address - Country:US
Practice Address - Phone:662-286-8868
Practice Address - Fax:662-286-3646
Is Sole Proprietor?:No
Enumeration Date:2009-03-10
Last Update Date:2009-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS1140111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor