Itacy, Rayllensons

Itacy, Rayllensons is an individual health care provider with primary practice located at 2020 Cumming Highway Suite 102, Canton GA 30115. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Itacy, Rayllensons can be contacted via phone (678) 593-1295.

Contact Information

Primary practice address
2020 Cumming Highway Suite 102 Canton GA 30115
Phone: (678) 593-1295
Fax: (678) 593-1294
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 006147 Georgia

Profile Details

NPI number 1174804702
LBN Legal business name Itacy, Rayllensons
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2011
Last updated Apr 5th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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