Provider Demographics
NPI:1588157069
Name:STYLE, ALYSSA JILL (DO)
Entity type:Individual
Prefix:
First Name:ALYSSA
Middle Name:JILL
Last Name:STYLE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1835 E PARK PLACE BLVD STE 110
Mailing Address - Street 2:
Mailing Address - City:STONE MOUNTAIN
Mailing Address - State:GA
Mailing Address - Zip Code:30087-3457
Mailing Address - Country:US
Mailing Address - Phone:770-469-4131
Mailing Address - Fax:770-469-3931
Practice Address - Street 1:1835 E PARK PLACE BLVD STE 110
Practice Address - Street 2:
Practice Address - City:STONE MOUNTAIN
Practice Address - State:GA
Practice Address - Zip Code:30087-3457
Practice Address - Country:US
Practice Address - Phone:770-469-4131
Practice Address - Fax:770-469-3931
Is Sole Proprietor?:No
Enumeration Date:2018-06-11
Last Update Date:2025-09-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA88041207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine