Individual
MRS. ASHLEY RUTH HEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2151 W SPRING ST, MONROE, GA 30655-3115
(770) 267-8461
Mailing address
1097 LONG PINEY RD, MANSFIELD, GA 30055-4409
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN155218
GA
Other
Enumeration date
11/25/2015
Last updated
11/25/2015
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