Most Relevant Information
Provider Data
| NPI Number: | 1003302936 |
| Provider Name: | ALEXANDRA LYLE RATELIFF PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/03/2018 |
| Last Updated: | 04/05/2021 |
Provider Practice Location
1600 HIGHWAY 17 N
SURFSIDE BEACH
SC
295756015
Practice Location Phone/Fax
| Phone: | 8432381461 |
| Fax: |
Provider Mailing Location
4607 PINE LAKE DR
MYRTLE BEACH
SC
295772640
Provider Mailing Phone/Fax
| Phone: | 8439953090 |
| Fax: |