Individual
SAMANTHA ROSE ASHMEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2061 EXPERIMENT STATION RD STE 505, WATKINSVILLE, GA 30677-5327
(706) 310-0324
Mailing address
2163 MULBERRY ST, EAST POINT, GA 30344-1112
(254) 717-1623
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9767
GA
Other
Enumeration date
09/28/2020
Last updated
06/25/2024
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