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1861047466
COURTNEY ATKINS VILLASUSO
CONWAY, SC
NPI
1861047466
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Former Name
COURTNEY PAIGE ATKINS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: SC 3571)
Enumeration Date
2019-08-09
Last Update Date
2024-04-12
Business Address
COURTNEY ATKINS VILLASUSO PA-C
808 FARRAR DR
CONWAY, SC 29526-8747
Phone number: 843-234-8700
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Mailing Address
COURTNEY ATKINS VILLASUSO PA-C
300 SINGLETON RIDGE RD ATTENTION PNS CREDENTIALING
CONWAY, SC 29526-9142
Phone number: 843-234-6946
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