# MISS PAULA SUZANNE WILLIS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1467691402
- **Gender:** F
- **Credential:** PA-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 003144 | GA | Yes |

## Other

- **Enumeration date:** 02/16/2009
- **Last updated:** 09/12/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 003121625A | — | GA |
| 05 | — | 003121625B | — | GA |
| 05 | — | 003121625C | — | GA |
| 05 | — | 003121625D | — | GA |
| 05 | — | 003121625E | — | GA |
| 01 | — | P01036869 | RAILROAD MEDICARE | GA |
| 01 | — | P01110461 | RAILROAD MEDICARE | GA |