Bethany Wiley Lill

NPI #1316298953 in Canton, Georgia

Provider Information

NPI Number
1316298953
Entity Type
Individual
Name
Bethany Wiley Lill
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Surgical
Enumeration Date
Sep 22, 2012
Last Updated
Aug 27, 2014

Practice Location

Address
720 TRANSIT AVE
Address 2
SUITE 202
City
Canton
State
Georgia
ZIP Code
30114-2540
Phone
(770) 427-5717

Specialties & Taxonomy Codes

Specialty
Physician Assistant
Physician Assistant - SurgicalSurgical

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