Search › Georgia › 225100000X
Alyssa Antonicello
NPI 1003625492 · on the registry since 2024 · sole proprietor
Practice
- Address
- 2030 Barrett Downs Dr
Cumming, GA 30040 - Phone
- (859) 338-2772
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Also registered as
- 208100000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-01-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia