Individual
MRS. ASHLEY STANCZAK WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
1226 DANTIGNAC ST, AUGUSTA, GA 30901-2788
(706) 922-0600
Mailing address
1226 DANTIGNAC ST, AUGUSTA, GA 30901-2788
(404) 520-1475
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN241647
GA
Other
Enumeration date
01/27/2019
Last updated
01/30/2024
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