Individual
ASHLEY DEKIRA POULLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4800 OLDE TOWNE PKWY STE 320, MARIETTA, GA 30068-4357
(783) 416-6370
(770) 509-0601
Mailing address
211 FAIRVIEW RD, ELLENWOOD, GA 30294-2721
(678) 289-6747
(678) 289-6750
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
85066
GA
207R00000X
Internal Medicine Physician
C202483
CA
Other
Enumeration date
06/21/2017
Last updated
11/19/2025
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