Individual
OLIVIA RAE BASILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5400 LAUREL SPRINGS PKWY STE 1401, JOHNS CREEK, GA 30024-6098
(678) 208-0165
(888) 814-0852
Mailing address
5400 LAUREL SPRINGS PKWY STE 1401, JOHNS CREEK, GA 30024-6098
(678) 208-0165
(888) 814-0852
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
13365
GA
Other
Enumeration date
09/06/2023
Last updated
12/08/2025
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