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Individual

STACEY ASHLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.C.

Contact information

Practice address
911 BELLEVUE AVE, DUBLIN, GA 31021-4849
(478) 275-1338
(478) 275-1747
Mailing address
PO BOX 5077, DUBLIN, GA 31040-5077
(478) 275-1338
(478) 275-1747

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIRO07239
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
52893879-003
BCBS OF GA
GA
Enumeration date
12/14/2006
Last updated
07/08/2007
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