Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
IKEYSHANA WILLIS
Active Sole ProprietorIKEYSHANA WILLIS is a Health Service Clinic healthcare provider located in DULUTH, Georgia. NPI 1003491283 is currently active in the NPPES registry. Verify at CMS.
Health Service Clinic · DULUTH, GA
Registration Details
- NPI Number
- 1003491283
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 10, 2021 (5.4680625439058 yrs)
- Last Updated
- Mar 10, 2021
- Sole Proprietor
- Yes
Practice Information
- Address
-
17213 SUGARLOAF RESERVE DRDULUTH, GA, 300975209Browse GA providers · Browse ZIP 30097
- Phone
- 4708002040
- Primary Specialty
-
Health Service Clinic
261QH0100X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.