Organization
TYRONE PODIATRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARMEN MCDONALD ASHMAN MD.,DPM (CEO)
(770) 774-2837
Entity
Organization
Contact information
Practice address
1129 SENOIA RD, TYRONE, GA 30290-1625
(770) 774-2837
Mailing address
PO BOX 908, TYRONE, GA 30290-0908
(770) 774-2837
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
POD001045
GA
Other
Enumeration date
07/13/2006
Last updated
01/09/2009
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