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Bethany Wiley Lill
Surgical Physician Assistant in Canton, Georgia
NPI 1316298953

Bethany Wiley Lill is a Surgical Physician Assistant based in Marietta, GA and is specialized in Surgical. Bethany Wiley Lill practices in Canton, GA. The NPI Number for Bethany Wiley Lill is 1316298953 and holds a License No. (Georgia).

The current practice location address for Bethany Wiley Lill is 720 Transit Ave, Canton, GA and can be reached out via phone at 770-427-5717 and via fax at 770-514-6744. You can also correspond with Bethany Wiley Lill through the mailing address at 300 TOWER RD NE, MARIETTA, GA - 30060-9404 (mailing address contact number: 770-427-5717).

Location: 720 Transit Ave, Canton, GA, 30060-9404
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316298953
Provider Name
Bethany Wiley Lill
Credential
Provider Entity Type
Individual
Gender
Female
Address
720 Transit Ave, Canton, GA, 30060-9404
Phone Number
770-427-5717
Fax Number
770-514-6744
Provider Enumeration Date
09/22/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
20I2973206 01 GA MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
720 Transit Ave
City
Canton
State
Georgia
Zip
30114-2540
Phone Number
770-427-5717
Fax Number
770-514-6744
person
Provider Business Mailing Address Details
Address
300 Tower Rd Ne
City
Marietta
State
Georgia
Zip
30060-9404
Phone Number
770-427-5717
Fax Number
770-514-6744
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
006629 (Georgia)
Definition
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.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
()
Definition
Definition to come...
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