Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RAYLLENSONS ITACY, P.A.
ActiveRAYLLENSONS ITACY, P.A. is a Physician Assistant healthcare provider located in CANTON, Georgia. NPI 1174804702 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · CANTON, GA
Registration Details
- NPI Number
- 1174804702
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 9, 2011 (14.921153051355 yrs)
- Last Updated
- Apr 5, 2016
- License
-
006147 (GA)
Practice Information
- Address
-
2020 CUMMING HIGHWAYSUITE 102CANTON, GA, 30115Browse GA providers · Browse ZIP 30115
- Phone
- 6785931295
- Fax
- 6785931294
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in CANTON, GA
| Name | Credential | NPI |
|---|---|---|
| KAREN M PENNELLI | P.A | 1811088685 |
| VASSILAKIS VASSILIOU | PA-C | 1295826105 |
| MRS. KATHRYN G BRADY | PAC | 1912123761 |
| MR. DENNIS GARRETT MCKENNA | P.A.-C. | 1568670701 |
| MR. JASON FLEURY | PA | 1386885069 |
| UMA T DAYA | P.A. | 1003132911 |
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.