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Individual

DR. KANYE WILLIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
315 BOULEVARD NE, SUITE 555, ATLANTA, GA 30312-1200
(404) 265-4000
Mailing address
315 BOULEVARD NE, SUITE 555, ATLANTA, GA 30312-1200
(404) 265-4000

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
64699
GA
208600000X
Surgery Physician
Primary
64699
GA

Other

Enumeration date
05/29/2007
Last updated
11/25/2024
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