Individual
HILARY ELISE GARREAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9420 WILLEO RD STE 206, ROSWELL, GA 30075-6773
(470) 267-1520
(770) 999-2673
Mailing address
3524 WINDRIDGE DR, MARIETTA, GA 30066-2657
(404) 547-6329
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
10861
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10861
PHYSICIAN ASSISTANT LICENSE GEORGIA COMPOSITE MEDICAL BOARD
GA
01
—
1192287
NATIONAL COMMISSION ON CERTIFICATION OF PHYSICIAN ASSISTANTS
—
Enumeration date
06/09/2022
Last updated
06/09/2022
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