Individual provider · Type 1 NPI
Ikeyshana Willis
Health Service Clinic/Center · Duluth, GA
NPI number
1003491283
Active
Practice location
17213 Sugarloaf Reserve Dr
Duluth, GA 30097-5209
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Service Clinic/Center Primary | 261QH0100X | None listed |
Health Service Clinic/Center: Definition to come...
About NPI 1003491283
Ikeyshana Willis's National Provider Identifier is 1003491283, issued on Mar 10, 2021. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in Duluth, GA. The record was last updated on Mar 10, 2021.