Individual
MRS. CLARISSA ISABELLE GILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1611 SANDS PLACE, STE 100, MARIETTA, GA 30067
(678) 944-8042
(678) 293-7579
Mailing address
1611 SANDS PLACE, STE 100, MARIETTA, GA 30067
(678) 944-8042
(678) 293-7579
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
8648
GA
363AM0700X
Medical Physician Assistant
PA9104959
FL
363AS0400X
Surgical Physician Assistant
8648
GA
363AS0400X
Surgical Physician Assistant
PA9104959
FL
Other
Enumeration date
04/23/2009
Last updated
10/29/2024
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