Provider Demographics
NPI:1972522423
Name:ALEXANDER, ANNE DICKINSON (MD)
Entity type:Individual
Prefix:
First Name:ANNE
Middle Name:DICKINSON
Last Name:ALEXANDER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ANNE
Other - Middle Name:DICKINSON
Other - Last Name:ALEXANDER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:810 WAREN STREET
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27403-2340
Mailing Address - Country:US
Mailing Address - Phone:336-389-1413
Mailing Address - Fax:336-210-8409
Practice Address - Street 1:810 WARREN ST
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27403-2340
Practice Address - Country:US
Practice Address - Phone:336-389-1413
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2020-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC37996207P00000X, 207R00000X
NC190642084P0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0802XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction Psychiatry
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC10543OtherBLUECROSS BLUESHIELD
NC8901543Medicaid
NC5374OtherBLUE MEDICARE
NC8901543Medicaid
NC5374OtherBLUE MEDICARE