Provider Demographics
NPI:1518744119
Name:DRAWDY, ALEXIS DAWN
Entity Type:Individual
Prefix:
First Name:ALEXIS
Middle Name:DAWN
Last Name:DRAWDY
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 1:112 PETTICOAT LN
Mailing Address - Street 2:
Mailing Address - City:GRIFFIN
Mailing Address - State:GA
Mailing Address - Zip Code:30224-7143
Mailing Address - Country:US
Mailing Address - Phone:912-540-7119
Mailing Address - Fax:
Practice Address - Street 1:112 PETTICOAT LN
Practice Address - Street 2:
Practice Address - City:GRIFFIN
Practice Address - State:GA
Practice Address - Zip Code:30224-7143
Practice Address - Country:US
Practice Address - Phone:912-540-7119
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-08
Last Update Date:2023-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician