Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BETHANY WILEY LILL
ActiveBETHANY WILEY LILL is a Surgical Physician Assistant healthcare provider located in CANTON, Georgia. NPI 1316298953 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · CANTON, GA
Registration Details
- NPI Number
- 1316298953
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 22, 2012 (13.92532115548 yrs)
- Last Updated
- Aug 27, 2014
- License
-
006629 (GA)
Practice Information
- Address
-
720 TRANSIT AVESUITE 202CANTON, GA, 301142540Browse GA providers · Browse ZIP 30114
- Phone
- 7704275717
- Fax
- 7705146744
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
- Additional Specialty
- Surgical Physician Assistant
Other Surgical Physician Assistant Providers in CANTON, GA
| Name | Credential | NPI |
|---|---|---|
| BERETTA CRAFT-COFFMAN | P.A.-C | 1285601880 |
| MRS. HEATHER J HALL | PA-C | 1760528434 |
| MR. DARRICK LAMONT CLARK | PA | 1427297811 |
| TERRI RYBAK | CST/CSFA | 1740599182 |
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.