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Contact Information

ROBERTA ALEXIS
59 PARADISE CIR
DOUGLASVILLE, GA30134-5215
 Phone: 404-537-9295
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health

163WH0200X
Indicates primary specialty

NPI Profile & details for ROBERTA ALEXIS · (Female)

NPI Number 1043594203
Status Active
Credentials
Entity Individual
Enumeration date 10/06/2011
Last updated 10/06/2011 - About 15 years ago
Sole proprietor 1 Yes
Identifiers
  • GA License # CN0028910941
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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