Provider Demographics
NPI:1467959833
Name:WATERS, ALEXA (MD)
Entity Type:Individual
Prefix:DR
First Name:ALEXA
Middle Name:
Last Name:WATERS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 DUKE HEALTH CARY PL STE 230
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27519-6760
Mailing Address - Country:US
Mailing Address - Phone:919-385-4450
Mailing Address - Fax:919-382-4499
Practice Address - Street 1:100 DUKE HEALTH CARY PL STE 230
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27519-6760
Practice Address - Country:US
Practice Address - Phone:919-385-4450
Practice Address - Fax:919-382-4499
Is Sole Proprietor?:No
Enumeration Date:2018-04-11
Last Update Date:2023-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2023-00621207Q00000X
PAMD474116207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine