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NPI Code Detail

MEDICARE: ALEXIS ROSE MACDONALD RBT

MEDICARE: ALEXIS ROSE MACDONALD RBT
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
1247200000XOther Technician

General Provider Information

NPI Number : 1538815865
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXIS ROSE MACDONALD RBT
Provider Business Mailing Address
First Line : 4575 SE DIXIE HWY
Second Line :
City : STUART
State : FL
Zip : 34997-6826
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1708 AUGUSTA ST STE C-226
Second Line :
City : GREENVILLE
State : SC
Zip : 29605-6513
Country : US
Telephone Number : 855-832-6727
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/24/2022
Last Update Date : 02/24/2022

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Directions to “ ALEXIS ROSE MACDONALD RBT” Practice Location

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