Individual
ALEXIS NOELLE ROOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1825 HIGHWAY 34 E STE 1200, NEWNAN, GA 30265-6416
(770) 502-2121
Mailing address
312 KENSINGTON DR, PEACHTREE CITY, GA 30269-2784
(770) 312-1835
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8890
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8890
GA STATE LICENSE
GA
Enumeration date
09/27/2018
Last updated
09/27/2018
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