RAYLLENSONS ITACY

CANTON, GA
NPI1174804702
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: GA  006147)
Enumeration Date2011-09-09
Last Update Date2016-04-05
Business Address
-- RAYLLENSONS ITACY P.A.
2020 CUMMING HIGHWAY SUITE 102
CANTON, GA 30115
Phone number: 678-593-1295
Mailing Address
-- RAYLLENSONS ITACY P.A.
550 PEACHTREE ST NE SUITE 1600
ATLANTA, GA 30308-2212
Phone number: 404-881-1094