Individual
BILLY ATHERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA - C
Contact information
Practice address
601 INDEPENDENCE RD, HURLBURT FIELD, FL 32544-5601
(850) 881-5656
Mailing address
601 INDEPENDENCE RD, HURLBURT FIELD, FL 32544-5601
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110-005562
VA
363A00000X
Physician Assistant
1127030
MD
Other
Enumeration date
05/28/2014
Last updated
06/01/2022
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