Provider Demographics
NPI:1174369045
Name:ROWLEY-KNIGHTS, ALEXIS SANTANA
Entity type:Individual
Prefix:
First Name:ALEXIS
Middle Name:SANTANA
Last Name:ROWLEY-KNIGHTS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:155 ELLA DR
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:GA
Mailing Address - Zip Code:30016-3422
Mailing Address - Country:US
Mailing Address - Phone:470-774-4732
Mailing Address - Fax:
Practice Address - Street 1:8735 DUNWOODY PL STE 6
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30350-2995
Practice Address - Country:US
Practice Address - Phone:706-250-7180
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-01
Last Update Date:2024-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver
No171W00000XOther Service ProvidersContractor