OLIVIA RAE BASILE PA-C
Individual Provider (NPI-1)
Active
Physician Assistant
Provider Information
- NPI Number
1609652494- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PA-C
- Status
- Active
Contact & Location
- Address
- 5400 LAUREL SPRINGS PKWY STE 1401, JOHNS CREEK, GA, 300246098
- Phone
- (678) 208-0165
- Fax
- (888) 814-0852
Specialties & Taxonomies
Physician Assistant
Primary License: GA #13365