Search › Georgia › 106S00000X
Ivyonna Willis
NPI 1679328959 · on the registry since 2024
Practice
- Address
- 1247 Old Greystone Ct
Lithonia, GA 30058 - Phone
- (470) 487-6477
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-04-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia