Provider Demographics
NPI:1851319164
Name:FIXELLE, ALAN M (MD)
Entity Type:Individual
Prefix:
First Name:ALAN
Middle Name:M
Last Name:FIXELLE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5669 PEACHTREE DUNWOODY RD NE
Mailing Address - Street 2:SUITE 270
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30342-1786
Mailing Address - Country:US
Mailing Address - Phone:404-255-1000
Mailing Address - Fax:404-847-0416
Practice Address - Street 1:5669 PEACHTREE DUNWOODY RD NE
Practice Address - Street 2:SUITE 270
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30342-1786
Practice Address - Country:US
Practice Address - Phone:404-255-1000
Practice Address - Fax:404-847-0416
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2023-03-07
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Provider Licenses
StateLicense IDTaxonomies
GA024675207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00027721OtherMEDICAID REF #
GA000310516DMedicaid
GA319359OtherWELLCARE
GA100015252OtherRAILROAD MEDICARE
30342B004OtherTRICARE
GA4213296OtherAETNA
GA15837OtherBCBS
4044103OtherCIGNA
4044103OtherCIGNA
GA4213296OtherAETNA
30342B004OtherTRICARE