Provider Demographics
NPI:1508218066
Name:JAMES, ALEXANDRA ROGERS (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:ALEXANDRA
Middle Name:ROGERS
Last Name:JAMES
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MISS
Other - First Name:SLOAN
Other - Middle Name:ALEXANDRA
Other - Last Name:ROGERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:254 AVENSONG DR
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:SC
Mailing Address - Zip Code:29072-7928
Mailing Address - Country:US
Mailing Address - Phone:803-767-6906
Mailing Address - Fax:
Practice Address - Street 1:1900 ABERCORN ST
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31401
Practice Address - Country:US
Practice Address - Phone:912-819-1560
Practice Address - Fax:912-819-1561
Is Sole Proprietor?:No
Enumeration Date:2016-07-08
Last Update Date:2020-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA008017363A00000X
SCPA3673363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant