Provider Demographics
NPI:1609129808
Name:DONNA E ALEXANDER MD OBSTETRICS AND GYNECOLOGY LLC
Entity Type:Organization
Organization Name:DONNA E ALEXANDER MD OBSTETRICS AND GYNECOLOGY LLC
Other - Org Name:DONNA E ALEXANDER SOLE MEMBER
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER/AUTHORIZED OFFICIAL
Authorized Official - Prefix:DR
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:E
Authorized Official - Last Name:ALEXANDER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:228-594-9300
Mailing Address - Street 1:1721 MEDICAL PARK DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:BILOXI
Mailing Address - State:MS
Mailing Address - Zip Code:39532-2109
Mailing Address - Country:US
Mailing Address - Phone:228-207-0408
Mailing Address - Fax:228-207-0409
Practice Address - Street 1:1721 MEDICAL PARK DR
Practice Address - Street 2:SUITE 100
Practice Address - City:BILOXI
Practice Address - State:MS
Practice Address - Zip Code:39532-2109
Practice Address - Country:US
Practice Address - Phone:228-207-0408
Practice Address - Fax:228-207-0409
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-25
Last Update Date:2012-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty