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DR. HILLERY BAVANI D.O.
>> Family Medicine >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1487073110
Individual Registrant:DR. HILLERY BAVANI D.O.
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
852 DACULA RD DACULA, GA 30019-3185 US
Tel: 770-848-9360 Fax: --
Tel: 770-848-9360 Fax: --
Contact information for business:
PO BOX 742616 ATLANTA, GA 30374-2616 US
Tel: 770-219-8420 Fax: --
Tel: 770-219-8420 Fax: --
Registration Information:
NPI: 1487073110
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 207Q00000X | Allopathic & Osteopathic Physicians Family Medicine | VA | 0102203694 |
| N | 208M00000X | Allopathic & Osteopathic Physicians Hospitalist | GA | 82342 |
| Y | 207Q00000X | Allopathic & Osteopathic Physicians Family Medicine | GA | 82342 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
