Provider Demographics
NPI:1477524965
Name:MCALEXANDER, DONALD L (MD)
Entity Type:Individual
Prefix:
First Name:DONALD
Middle Name:L
Last Name:MCALEXANDER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:820 SAINT SEBASTIAN WAY
Mailing Address - Street 2:STE. 4C
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30901-2643
Mailing Address - Country:US
Mailing Address - Phone:706-774-5995
Mailing Address - Fax:706-774-5996
Practice Address - Street 1:820 SAINT SEBASTIAN WAY
Practice Address - Street 2:STE. 4C
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30901-2643
Practice Address - Country:US
Practice Address - Phone:706-774-5995
Practice Address - Fax:706-774-5996
Is Sole Proprietor?:No
Enumeration Date:2006-02-01
Last Update Date:2009-06-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC29773207R00000X
GA026329207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC566000156OtherGROUP TAX ID
NCA2831OtherMEDCOST
NC0440057OtherUNITED HEALTHCARE
NC108993OtherWELLPATH
NC4298824OtherAETNA
NC55331OtherBCBS
NC110226262OtherRAILROAD MEDICARE
NC8955331Medicaid
NC9281OtherPARTNERS MEDICARE CHOICE
NC896332OtherMAMSI
NCC85377Medicare UPIN
NC208614DMedicare ID - Type UnspecifiedMEDICARE