Individual
MRS. ASHLEY FICKLEN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
231 GRAEFE ST, GRIFFIN, GA 30224-4222
(770) 227-1587
Mailing address
503 S 8TH ST, GRIFFIN, GA 30224-4211
(770) 227-5505
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
006845
GA
Other
Enumeration date
06/11/2013
Last updated
09/08/2022
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