Individual
ALIX ROTHBART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1038 BETHANIA RURAL HALL RD, RURAL HALL, NC 27045-9552
(367) 169-2703
(336) 702-9313
Mailing address
PROVIDER ENROLLMENT, 100 KIMEL FOREST DRVE, WINSTON-SALEM, NC 27103-6074
(336) 713-0947
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
05/14/2019
Last updated
10/16/2023
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