Ikeyshana Willis
Ikeyshana Willis is a Health Service Clinic/Center in Duluth, Georgia. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
17213 Sugarloaf Reserve DrDuluth, GA 30097-5209
Phone: (470) 800-2040
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Health Service Clinic/Center (primary) | Taxonomy 261QH0100X |
|---|
Record details
| NPI number | 1003491283 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | March 10, 2021 |
| Last updated in NPPES | March 10, 2021 |
| Certification date | March 10, 2021 |
| Mailing address | 17213 Sugarloaf Reserve Dr, Duluth, GA 30097-5209 |
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