Most Relevant Information
Provider Data
| NPI Number: | 1003203860 |
| Provider Name: | ALEXIS MYERS OSMENT |
| Entity Type: | Individual |
| Taxonomy Code: | 2255A2300X |
| Specialty: | Specialist/Technologist |
| License Number: | AT 002253 |
Most Important Dates
| Enumeration Date: | 04/20/2015 |
| Last Updated: | 04/20/2015 |
Provider Practice Location
2007 HUBBARD CT
VILLA RICA
GA
301805842
Practice Location Phone/Fax
| Phone: | 6365796810 |
| Fax: |
Provider Mailing Location
2007 HUBBARD CT
VILLA RICA
GA
301805842
Provider Mailing Phone/Fax
| Phone: | 6365796810 |
| Fax: |