Individual
ASHLEY LYDIA MULLICAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, NP-C
Contact information
Practice address
1925 OLD PEACHTREE RD NE, LAWRENCEVILLE, GA 30043-2822
(770) 339-5999
Mailing address
136 RIVER MIST CIR, JEFFERSON, GA 30549-8621
(770) 540-8304
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F06171471
GA
Other
Enumeration date
09/27/2017
Last updated
11/06/2018
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