Most Relevant Information
Provider Data
| NPI Number: | 1003515735 |
| Provider Name: | ALEXIS ROBERTS |
| Entity Type: | Individual |
| Taxonomy Code: | 133V00000X |
| Specialty: | Dietitian, Registered |
| License Number: | LD004888 |
Most Important Dates
| Enumeration Date: | 03/02/2023 |
| Last Updated: | 03/02/2023 |
Provider Practice Location
2232 DUNSEATH AVE NW APT 413
ATLANTA
GA
303182042
Practice Location Phone/Fax
| Phone: | 6787564091 |
| Fax: |
Provider Mailing Location
2232 DUNSEATH AVE NW APT 413
ATLANTA
GA
303182042
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |