Provider Demographics
NPI:1174127344
Name:SUMMERFIELD, ALEXANDRIA MACY (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ALEXANDRIA
Middle Name:MACY
Last Name:SUMMERFIELD
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:144 BOWDOIN LN SW
Mailing Address - Street 2:
Mailing Address - City:ADAIRSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30103-3461
Mailing Address - Country:US
Mailing Address - Phone:678-848-8847
Mailing Address - Fax:
Practice Address - Street 1:2501 E WALNUT AVE
Practice Address - Street 2:
Practice Address - City:DALTON
Practice Address - State:GA
Practice Address - Zip Code:30721-8731
Practice Address - Country:US
Practice Address - Phone:706-226-3664
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-28
Last Update Date:2020-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH031509183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist