Individual
ASHLEY ABT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
90 E STEPHENS ST, CAMILLA, GA 31730-1836
(229) 336-4600
Mailing address
100 S MADISON ST, THOMASVILLE, GA 31792-5473
(229) 236-0831
(229) 236-0871
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN244930
GA
Other
Enumeration date
02/12/2018
Last updated
02/12/2018
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