Individual
MRS. ASHLEY NICOLE O'DONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AA
Contact information
Practice address
11705 MERCY BLVD, SAVANNAH, GA 31419-1711
(912) 819-4100
Mailing address
PO BOX 603484, CHARLOTTE, NC 28260-3484
(803) 765-1838
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
84
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01290216
RAILROAD MEDICARE
TX
01
—
Q784289476
SC MEDICARE
SC
Enumeration date
04/16/2013
Last updated
02/20/2026
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