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1225198823
ALEX PIERCE
VIDALIA, GA
NPI
1225198823
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: GA 4748)
Enumeration Date
2006-12-12
Last Update Date
2007-07-08
Business Address
Mr. ALEX PIERCE PA
1013 E 1ST ST
VIDALIA, GA 30474-4227
Phone number: 912-538-7702
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Mailing Address
Mr. ALEX PIERCE PA
200 VIRGINIA WAY
VIDALIA, GA 30474-4314
Phone number: 912-537-2779
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