Individual
ALEXIS MALCOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2518 JIMMY LEE SMITH PKWY, HIRAM, GA 30141-2068
(470) 644-7000
Mailing address
5665 NEW NORTHSIDE DR, ATLANTA, GA 30328-5831
(770) 874-6907
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN234397
GA
Other
Enumeration date
10/16/2015
Last updated
10/16/2015
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