Individual provider · Type 1 NPI

Rayllensons Itacy, P.A.

Physician Assistant · Canton, GA

NPI number 1174804702 Active

Practice location

2020 Cumming Highway, Suite 102
Canton, GA 30115

Fax (678) 593-1294

Mailing address

550 Peachtree St NE, Suite 1600
Atlanta, GA 30308-2212

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X006147 (GA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1174804702

Rayllensons Itacy, P.A.'s National Provider Identifier is 1174804702, issued on Sep 9, 2011. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Canton, GA. The record was last updated on Apr 5, 2016.