Individual
EVA AVINO WILLAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
460 NORTHSIDE CHEROKEE BLVD STE 150, CANTON, GA 30115-8018
(470) 639-6250
(770) 345-0712
Mailing address
52 CRABAPPLE LN, FRANKLIN PARK, NJ 08823-1416
(678) 862-9573
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8488
GA
363A00000X
Physician Assistant
—
NJ
Other
Enumeration date
06/27/2012
Last updated
05/07/2019
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