National Provider Identifier Database

RAYLLENSONS ITACY, PA – NPI #1174804702
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, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.


Contact Information

RAYLLENSONS ITACY, PA
2020 CUMMING HIGHWAY
SUITE 102
CANTON, GA30115
Phone: 678-593-1295
Fax: 678-593-1294
Website:
Specialty Taxonomy Code
* Physician Assistant 363A00000X

* Indicates primary specialty

NPI Profile & details for RAYLLENSONS ITACY

NPI Number 1174804702
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 09/09/2011
Last updated 04/05/2016 - About 10 years ago
Sole proprietor1 No
Identifiers
  • GA License #: 006147
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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