Lookup NPI Numbers from the NPI Registry
NPI Profile for ALEXANDRA L BOURCY CRANDELL in COLUMBUS, MS.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Medical |
363AM0700X | 97 | Physician Assistant | |
Family Medicine |
207Q00000X | 08 | Physician/Family Practice | |
Physician Assistant |
363A00000X | 97 | Physician Assistant |
| NPI # | 1902373095 |
|
| Status | Active | |
| Credentials | PA-C (Physician Assistant-Certified) | |
| Entity | Individual | |
| Enumeration date | 10/27/2018 | |
| Last updated | 09/26/2022 - About 4 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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ALEXANDRA L BOURCY CRANDELL, PA-C