Provider Demographics
NPI:1417682980
Name:GEORGE, ALEXANDREA NACOLE (AUDIOLOGIST)
Entity Type:Individual
Prefix:DR
First Name:ALEXANDREA
Middle Name:NACOLE
Last Name:GEORGE
Suffix:
Gender:F
Credentials:AUDIOLOGIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:292 EASTWOOD LN SE
Mailing Address - Street 2:
Mailing Address - City:BELVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28451-9561
Mailing Address - Country:US
Mailing Address - Phone:717-421-2043
Mailing Address - Fax:
Practice Address - Street 1:1121 MILITARY CUTOFF RD STE H
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28405-3658
Practice Address - Country:US
Practice Address - Phone:910-679-8721
Practice Address - Fax:910-679-8574
Is Sole Proprietor?:No
Enumeration Date:2022-07-19
Last Update Date:2022-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC30000964231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist