Individual
ASHLEY MICHAEL INGRAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
275 COLLIER RD NW STE 300, ATLANTA, GA 30309-1740
(404) 350-0009
Mailing address
PO BOX 102321, ATLANTA, GA 30368-2321
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9804
GA
Other
Enumeration date
05/08/2019
Last updated
07/30/2021
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