Provider Demographics
NPI:1366107773
Name:BURLEY, ALEXANDRA SMITH (PA-C)
Entity type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:SMITH
Last Name:BURLEY
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 6069
Mailing Address - Street 2:
Mailing Address - City:WEST COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29171-6069
Mailing Address - Country:US
Mailing Address - Phone:803-791-2350
Mailing Address - Fax:803-791-2520
Practice Address - Street 1:2720 SUNSET BLVD
Practice Address - Street 2:
Practice Address - City:WEST COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29169-4810
Practice Address - Country:US
Practice Address - Phone:803-791-2350
Practice Address - Fax:803-791-2520
Is Sole Proprietor?:No
Enumeration Date:2021-11-02
Last Update Date:2024-06-19
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant