Gregory, Alexia M
Gregory, Alexia M is an sole proprietor health care provider with primary practice located at 3225 Shallowford Rd. Bldg 1300, Marietta GA 30062. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Gregory, Alexia M can be contacted via phone (678) 560-7160.Contact Information
Primary practice address
3225 Shallowford Rd. Bldg 1300
Marietta GA 30062
Phone: (678) 560-7160
Fax: (678) 560-7185
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 051137 | Georgia |
Profile Details
| NPI number | 1508814583 |
|---|---|
| LBN Legal business name | Gregory, Alexia M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 4th, 2006 |
| Last updated | Mar 7th, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508814583 | NPPES |
| Georgia | MEDICAID | 532340111B |
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