Individual
ASHLEY ELIZABETH BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
118 E GIRARD AVE, CEDARTOWN, GA 30125-2712
(678) 246-5174
(706) 657-2958
Mailing address
13570 N MAIN ST, TRENTON, GA 30752-2012
(706) 956-2665
(706) 657-2958
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN251510
GA
Other
Enumeration date
02/17/2021
Last updated
02/17/2021
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