NPI 1336823095 · live from the CMS NPI Registry
Alexis Adeojo, PA-C
Physician Assistant in Suwanee, GA. National Provider Identifier 1336823095, active.
NPI record
| NPI | 1336823095 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 4275 Johns Creek Pkwy Ste A, Suwanee, GA 30024 |
| Practice phone | 678-475-1606 |
| Enumerated | June 13, 2023 |
| Last updated | May 21, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant primary | 363A00000X | 11704 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.