| Doctor Name: | MR. HARRY RAFAEL SEVILLA ABILLA |
| NPI Number: | 1053331546 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | NP-C, CRNA, MSN |
| License Number: | RN181018 |
| Business Practice Address: | 310 North Davis Street Lagrange, GA - 30240 |
| Business Phone Number: | 7068124068 |
| Business Fax Number: | |
| Mailing Address: | 302 Horizon Hl, NEWNAN |
| State: | GA |
| Postal Code: | 302655680 |
| Phone Number: | 6788760694 |
| Fax Number: | |
| NPI Enumeration Date: | 07/20/2006 |
| NPI Last Update Date: | 05/23/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | RN181018 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | GA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |