Provider Demographics
NPI:1982601761
Name:ALEXANDER, MARGARET C (MD)
Entity Type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:C
Last Name:ALEXANDER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1204 FENWICK DR
Mailing Address - Street 2:
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24502-2112
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1330 OAK LN
Practice Address - Street 2:
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24503-2513
Practice Address - Country:US
Practice Address - Phone:434-200-4072
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-07-07
Last Update Date:2009-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01012304952085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
288064OtherANTHEM PAR/PPO PROVIDER N
54-0715569OtherUNITED HEALTHCARE PROVIDE
VA0072-3442-2Medicaid
540715569024OtherTRICARE PROVIDER NUMBER
VA0072-3467-8Medicaid
204426OtherSOUTHERN HEALTH PROVIDER
2136560OtherMAMSI PROVIDER NUMBER
61-1418891OtherPCHP PROVIDER NUMBER
61-1418891OtherUNITED HEALTHCARE PROVIDE
611418891OtherTRICARE PROVIDER NUMBER
VA0072-4186-1Medicaid
VA0072-4377-4Medicaid
54-0715569OtherPCHP PROVIDER NUMBER
VAD26911Medicare UPIN
VA0072-3467-8Medicaid
300121941Medicare PIN
300002741Medicare PIN
P00408969Medicare PIN
54-0715569OtherPCHP PROVIDER NUMBER
VA0072-4186-1Medicaid