Provider Demographics
NPI:1356047682
Name:MCNEILL, ALEXIS MARIE (PA-C)
Entity type:Individual
Prefix:MISS
First Name:ALEXIS
Middle Name:MARIE
Last Name:MCNEILL
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:312 WESTSIDE DR
Mailing Address - Street 2:
Mailing Address - City:DOUGLAS
Mailing Address - State:GA
Mailing Address - Zip Code:31533-3530
Mailing Address - Country:US
Mailing Address - Phone:912-384-2200
Mailing Address - Fax:
Practice Address - Street 1:312 WESTSIDE DR
Practice Address - Street 2:
Practice Address - City:DOUGLAS
Practice Address - State:GA
Practice Address - Zip Code:31533-3530
Practice Address - Country:US
Practice Address - Phone:912-384-2200
Practice Address - Fax:912-383-7992
Is Sole Proprietor?:No
Enumeration Date:2023-02-07
Last Update Date:2023-08-10
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant