Individual
ASHLEY LYNN GAVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
145 BAYBERRY RUN, FAYETTEVILLE, GA 30214-2671
(678) 829-3274
Mailing address
145 BAYBERRY RUN, FAYETTEVILLE, GA 30214-2671
(678) 829-3274
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
RN241838
GA
Other
Enumeration date
09/20/2023
Last updated
09/20/2023
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