Pillot Magee, Ebonique C

Pillot Magee, Ebonique C is an individual health care provider with primary practice located at 5910 Hillandale Dr Ste 301 , Lithonia GA 30058-1880. 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. Pillot Magee, Ebonique C can be contacted via phone (707) 987-2155.

Contact Information

Primary practice address
5910 Hillandale Dr Ste 301 Lithonia GA 30058-1880
Phone: (707) 987-2155
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 004500 Georgia

Profile Details

NPI number 1043249261
LBN Legal business name Pillot Magee, Ebonique C
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2006
Last updated Nov 6th, 2020 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1043249261 NPPES
Georgia MEDICAID 758372220B
Georgia MEDICAID 758372220C
Georgia MEDICAID 758372220D
Georgia MEDICAID 758372220E
Georgia MEDICAID 758372220A

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