Individual
CORIE MOUSSIGNAC-DEVILME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
301 PHILIP BLVD STE A, LAWRENCEVILLE, GA 30046-8746
(770) 822-5560
(770) 822-4989
Mailing address
301 PHILIP BLVD STE A, LAWRENCEVILLE, GA 30046-8746
(770) 822-5560
(770) 822-4989
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12121
GA
Other
Enumeration date
10/10/2022
Last updated
02/15/2024
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