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NPI Code Detail

MEDICARE: ALEXIS DAWKINS MAHAFFEY NP

MEDICARE: ALEXIS DAWKINS MAHAFFEY NP
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
1363LF0000XFamily Nurse Practitioner1-155218AL

General Provider Information

NPI Number : 1902550825
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXIS DAWKINS MAHAFFEY NP
Provider Business Mailing Address
First Line : PO BOX 55310
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35255-5310
Country : US
Telephone Number : 205-731-9701
Fax Number :
Provider Business Practice Location Address
First Line : 125 20TH ST S UNIT 103
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35233-2019
Country : US
Telephone Number : 205-801-5251
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2022
Last Update Date : 06/28/2023

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