Provider Demographics
NPI:1942810130
Name:YOX, ALEXANDER DOUGLAS (CAA)
Entity Type:Individual
Prefix:
First Name:ALEXANDER
Middle Name:DOUGLAS
Last Name:YOX
Suffix:
Gender:M
Credentials:CAA
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:4600 ROSWELL RD BLDG H366
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30342-3019
Mailing Address - Country:US
Mailing Address - Phone:770-676-8628
Mailing Address - Fax:
Practice Address - Street 1:5665 PEACHTREE DUNWOODY RD
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30342-1764
Practice Address - Country:US
Practice Address - Phone:678-843-7324
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-03
Last Update Date:2020-08-03
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367H00000XPhysician Assistants & Advanced Practice Nursing ProvidersAnesthesiologist Assistant