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Individual

ASHLEIGH FULLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
334 SMITH AVE, THOMASVILLE, GA 31792-5533
(229) 227-1595
Mailing address
104 WEDGEFIELD WAY, STATESBORO, GA 30458-2464
(229) 891-8822

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN272188
GA
363L00000X
Nurse Practitioner
Primary
RN272188
GA

Other

Enumeration date
11/22/2020
Last updated
07/11/2025
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