Individual
DR. ASHAKI EVA WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
101 QUARTZ DR STE 103, VILLA RICA, GA 30180-3255
(770) 812-3530
(770) 812-3531
Mailing address
119 AMBULANCE DR, CARROLLTON, GA 30117-3857
(770) 838-8710
(770) 838-8563
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
078336
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111146
—
OH
Enumeration date
04/18/2012
Last updated
01/13/2022
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