Individual
ALYSSA WILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
631 JOHNNIE DODDS BLVD, MOUNT PLEASANT, SC 29464-3030
(843) 881-0815
Mailing address
1290 SILAS DEANE HWY, WETHERSFIELD, CT 06109-4337
(860) 972-6977
(860) 972-7040
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/05/2017
Last updated
09/19/2023
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