Individual
MRS. ALLYSSA REBURIANO BARRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
1505 NORTHSIDE BLVD STE 2400, CUMMING, GA 30041-7662
(770) 292-3490
(770) 292-9016
Mailing address
1505 NORTHSIDE BLVD STE 2400, CUMMING, GA 30041-7662
(770) 292-3490
(770) 292-9016
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11300
GA
Other
Enumeration date
02/10/2023
Last updated
08/20/2025
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