Healthcare Provider Details

I. General information

NPI: 1184170854
Provider Name (Legal Business Name): ALEXIS GRABOW STRAHAN MSN, NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2016
Last Update Date: 07/09/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

106 CLINTON PKWY
CLINTON MS
39056
US

IV. Provider business mailing address

106 E BROAD ST
SAVANNAH GA
31401-2917
US

V. Phone/Fax

Practice location:
  • Phone: 601-924-9005
  • Fax:
Mailing address:
  • Phone: 912-527-1000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberRN277416
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: