Active NPIIndividual provider

Eva A Willauer, PA-C

Physician Assistant in Canton, Georgia

NPI Number1174887822
Practice location
460 Northside Cherokee Blvd Ste 150, Canton, GA 30115-8018
Fax
770-345-0712
Last updated
May 7, 2019

Eva Avino Willauer is a Physician Assistant based in Canton, GA. Eva Avino Willauer practices in Canton, GA and has the professional credentials of PA-C. The NPI Number for Eva Avino Willauer is 1174887822 and holds a License No. 8488 (GA). The current practice location address for Eva Avino Willauer is 460 Northside Cherokee Blvd Ste 150, Canton, GA 30115-8018 and can be reached out via phone at 470-639-6250 and via fax at 770-345-0712.

Provider Profile Details

NPI Number
1174887822
Provider Name
Eva Avino Willauer
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
460 Northside Cherokee Blvd Ste 150, Canton, GA 30115-8018
Phone Number
470-639-6250
Fax Number
770-345-0712
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
June 27, 2012
Last Update Date
May 7, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
460 Northside Cherokee Blvd Ste 150
Canton, GA 30115-8018
City
Canton
State
Georgia
Zip
30115-8018
Phone Number
470-639-6250
Fax Number
770-345-0712
Canton, GA 30115Get directions →

Provider Business Mailing Address Details

Address
52 Crabapple Ln
Franklin Park, NJ 08823-1416
City
Franklin Park
State
NJ
Zip
08823-1416
Phone Number
678-862-9573

License Information

License State (1)
NJ
Taxonomy (1)
Physician Assistant · 363A00000X
License Number (2)
8488
License State (2)
GA
Taxonomy (2)
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Eva A Willauer, PA-C?

The NPI number of Eva A Willauer, PA-C is 1174887822. It was assigned on June 27, 2012 and is currently active in the NPPES registry.

What is the specialty of Eva A Willauer, PA-C?

Eva A Willauer, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in GA under license number 8488.

Where does Eva A Willauer, PA-C practice?

The practice location is 460 Northside Cherokee Blvd Ste 150, Canton, GA 30115-8018. The office can be reached at 470-639-6250 (phone) or 770-345-0712 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1174887822 directly on the NPPES registry website.

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