Individual
ASHLEY GILLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
744 NOAH DR STE 108, JASPER, GA 30143-8704
(706) 253-2828
Mailing address
744 NOAH DR STE 108, JASPER, GA 30143-8704
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN215446
GA
Other
Enumeration date
05/06/2015
Last updated
05/06/2015
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