Provider Demographics
NPI:1447805841
Name:ROGERS, ALEXANDRIA MONIQUE
Entity Type:Individual
Prefix:
First Name:ALEXANDRIA
Middle Name:MONIQUE
Last Name:ROGERS
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 1:7510 BROOKSTONE CIR
Mailing Address - Street 2:
Mailing Address - City:FLOWERY BRANCH
Mailing Address - State:GA
Mailing Address - Zip Code:30542-7709
Mailing Address - Country:US
Mailing Address - Phone:678-897-3172
Mailing Address - Fax:
Practice Address - Street 1:7510 BROOKSTONE CIR
Practice Address - Street 2:
Practice Address - City:FLOWERY BRANCH
Practice Address - State:GA
Practice Address - Zip Code:30542-7709
Practice Address - Country:US
Practice Address - Phone:678-897-3172
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-03
Last Update Date:2019-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula