Individual
MRS. ASHLEY BLACKMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1365 CLIFTON RD NE BLDG B, ATLANTA, GA 30322-1013
(404) 727-0717
(404) 712-4621
Mailing address
1365 CLIFTON RD NE BLDG B, ATLANTA, GA 30322-1013
(404) 727-0717
(404) 712-4621
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
RN184648
GA
207RI0011X
Interventional Cardiology Physician
RN184648
GA
363L00000X
Nurse Practitioner
Primary
APRN-NP184648
GA
363L00000X
Nurse Practitioner
RN184648
GA
Other
Enumeration date
06/04/2012
Last updated
10/26/2025
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