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Individual

MRS. DEVON BROOKE PATTILLO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
2383 PATE ST N, SNELLVILLE, GA 30078-3250
(770) 972-4845
Mailing address
2979 WYNHAVEN OAKS WAY, LAWRENCEVILLE, GA 30043-1305
(678) 654-0822

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary

Other

Enumeration date
04/30/2014
Last updated
04/30/2014
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