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Individual

ASHLEE BLOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
101 YORKTOWN DR, FAYETTEVILLE, GA 30214-1578
(678) 593-9020
Mailing address
101 YORKTOWN DR STE 200, FAYETTEVILLE, GA 30214-7664

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12554
GA

Other

Enumeration date
11/20/2023
Last updated
05/17/2025
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