Provider Demographics
NPI:1811251762
Name:DRETLER, ALEXANDRA WOLCOTT (MD)
Entity type:Individual
Prefix:DR
First Name:ALEXANDRA
Middle Name:WOLCOTT
Last Name:DRETLER
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Gender:F
Credentials:MD
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Mailing Address - Street 1:2665 N DECATUR RD
Mailing Address - Street 2:STE 330
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30033-6145
Mailing Address - Country:US
Mailing Address - Phone:404-297-9755
Mailing Address - Fax:404-297-5008
Practice Address - Street 1:4901 FOREST PARK AVE
Practice Address - Street 2:STE 2
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63108-1402
Practice Address - Country:US
Practice Address - Phone:314-362-5060
Practice Address - Fax:314-362-6959
Is Sole Proprietor?:No
Enumeration Date:2012-06-26
Last Update Date:2019-07-08
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Provider Licenses
StateLicense IDTaxonomies
GA83122207RI0200X
MO2015008497208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist