Individual
REBECCA I MYLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
5673 PEACHTREE DUNWOODY RD, SUITE 850, ATLANTA, GA 30342-1731
(404) 252-4333
(404) 252-7000
Mailing address
5116 MOUNT VERNON WAY, DUNWOODY, GA 30338-4212
(678) 457-0766
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
7617
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7617
GEORGIA PA LICENSE
GA
Enumeration date
11/05/2015
Last updated
11/05/2015
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