Individual
ASHLEY B MILLICAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
28 JOHN DAVENPORT DR NW, ROME, GA 30165-2536
(706) 291-0584
(706) 290-0849
Mailing address
PO BOX 1882, ROME, GA 30162-1882
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN186725
GA
Other
Enumeration date
03/08/2012
Last updated
05/21/2021
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