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NPI Code Detail

MEDICARE: BETTYE HOOKS ALEXIS

MEDICARE: BETTYE HOOKS ALEXIS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse PractitionerRN200619GA

General Provider Information

NPI Number : 1770311490
Entity Type Code : Individual
Provider Name (Legal Business Name) : BETTYE HOOKS ALEXIS
Provider Business Mailing Address
First Line : 1373 CLEVELAND AVE
Second Line :
City : ATLANTA
State : GA
Zip : 30344-3423
Country : US
Telephone Number : 678-967-0963
Fax Number :
Provider Business Practice Location Address
First Line : 1373 CLEVELAND AVE
Second Line :
City : ATLANTA
State : GA
Zip : 30344-3423
Country : US
Telephone Number : 678-573-2970
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/24/2024
Last Update Date : 09/02/2024

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Directions to “ BETTYE HOOKS ALEXIS ” Practice Location

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