Ebonique C Pillot PA-C

NPI 1043249261 - Physician Assistant - 363A00000X

NPI Details
NPI 1043249261
Gender Female
Enumeration Date 07/01/2006
Last Updated 07/20/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
1220 CAROLINE STREET NE
SUITE A230
ATLANTA GA, 30307-2749, US
Phone (678) 916-3600
Fax (678) 916-3611
Business Location
2024 BRIAR CREEK CT NE
CONYERS GA, 30012-7123, US
Phone (404) 421-6966
Fax
Toxanomy
Taxonomy Code 363A00000X
License State Georgia
License Number 004500
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According to our database, Ebonique C Pillot PA-C NPI is 1043249261, taxonomy code is 363A00000X and license number is 004500, license state is located at Georgia. Ebonique C Pillot PA-C physically located at 1220 Caroline Street Ne, Atlanta GA, 30307-2749. NPI Number Ebonique C Pillot PA-C has the Individual type.

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1043249261 NPI number is provided on an as is basis without warranty of any kind. 1043249261 is maintained by the National Plan & Provider Enumeration System. The contents of Ebonique C Pillot PA-C are for informational purposes only.