Provider Demographics
NPI:1194860288
Name:ALEXANDER, NEVILLE A (DPM)
Entity Type:Individual
Prefix:DR
First Name:NEVILLE
Middle Name:A
Last Name:ALEXANDER
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:535 ASTON HALL WAY
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30022-6634
Mailing Address - Country:US
Mailing Address - Phone:678-520-7920
Mailing Address - Fax:
Practice Address - Street 1:535 ASTON HALL WAY
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30022-6634
Practice Address - Country:US
Practice Address - Phone:678-520-7920
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-20
Last Update Date:2021-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPOD001042213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAPOD001042OtherLICENSE