Provider Demographics
NPI:1902330277
Name:DODD, ALEXANDRA LOUISE (MD)
Entity Type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:LOUISE
Last Name:DODD
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 1:401 E 64TH ST
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31405-4329
Mailing Address - Country:US
Mailing Address - Phone:864-382-9148
Mailing Address - Fax:
Practice Address - Street 1:836 E 65TH ST STE 44
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31405-4496
Practice Address - Country:US
Practice Address - Phone:912-354-5780
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-13
Last Update Date:2023-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC409732084P0800X
GA881732084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry