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Individual

EMILY REBECCA DOWNS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
3970 DEPUTY BILL CANTRELL MEMORIAL ROAD STE 150, CUMMING, GA 30040
(770) 781-8004
Mailing address
3970 DEPUTY BILL CANTRELL MEMORIAL ROAD, SUITE 150, CUMMING, GA 30040
(770) 781-8004
(678) 678-4053

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9300
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1162357
NCCPA
01
9300
GA STATE LICENSE
GA
Enumeration date
05/09/2019
Last updated
05/06/2020
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