Pillot Magee, Ebonique C
Pillot Magee, Ebonique C is an individual health care provider with primary practice located at 5910 Hillandale Dr Ste 301 , Lithonia GA 30058-1880. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Pillot Magee, Ebonique C can be contacted via phone (707) 987-2155.Contact Information
Primary practice address
5910 Hillandale Dr Ste 301
Lithonia GA 30058-1880
Phone: (707) 987-2155
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 004500 | Georgia |
Profile Details
| NPI number | 1043249261 |
|---|---|
| LBN Legal business name | Pillot Magee, Ebonique C |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 1st, 2006 |
| Last updated | Nov 6th, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043249261 | NPPES |
| Georgia | MEDICAID | 758372220B | |
| Georgia | MEDICAID | 758372220C | |
| Georgia | MEDICAID | 758372220D | |
| Georgia | MEDICAID | 758372220E | |
| Georgia | MEDICAID | 758372220A |
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