Provider Demographics
NPI:1568246544
Name:REBMAN, ALEXANDRA C (PA)
Entity Type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:C
Last Name:REBMAN
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Gender:F
Credentials:PA
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Mailing Address - Street 1:6002 PROFESSIONAL PKWY STE 140
Mailing Address - Street 2:
Mailing Address - City:DOUGLASVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30134-5603
Mailing Address - Country:US
Mailing Address - Phone:678-715-9690
Mailing Address - Fax:678-581-7140
Practice Address - Street 1:6002 PROFESSIONAL PKWY STE 220
Practice Address - Street 2:
Practice Address - City:DOUGLASVILLE
Practice Address - State:GA
Practice Address - Zip Code:30134-5627
Practice Address - Country:US
Practice Address - Phone:678-715-9690
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-22
Last Update Date:2023-10-31
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant