Individual
ALEXIS ANTONIOLLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1975 HIGHWAY 54 W STE 150, PEACHTREE CITY, GA 30269-4795
(770) 486-5000
Mailing address
125 CORNWALL BRG, PEACHTREE CTY, GA 30269-1380
(404) 664-6340
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN210580
GA
363L00000X
Nurse Practitioner
Primary
APRN-NP210580
GA
Other
Enumeration date
02/17/2026
Last updated
06/11/2026
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