CASSIE BREANNA ILYASOVA

ROME, GA
NPI1154665909
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: GA  7137)
Enumeration Date2012-11-17
Last Update Date2023-10-27
Business Address
CASSIE BREANNA ILYASOVA PA-C
504 REDMOND RD NW
ROME, GA 30165-1416
Phone number: 762-235-3130
Mailing Address
CASSIE BREANNA ILYASOVA PA-C
221 TECHNOLOGY PKWY NW
ROME, GA 30165-1369
Phone number: 762-235-1000
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