Individual
ASHLEY E HEATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4155 BAKER STREET NE, SUITE 100, COVINGTON, GA 30014-1405
(770) 788-0620
(678) 342-3327
Mailing address
P.O. BOX 945934, ATLANTA, GA 30394-5934
(770) 788-0620
(678) 342-3327
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
004829
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31748348
NPPN
GA
05
—
395905293A
—
GA
01
—
9894144
AETNA
GA
01
—
P00658359
MEDICARE - RAILROAD
GA
Enumeration date
06/30/2008
Last updated
03/03/2009
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