Individual
ASHLEY ANGELA FULLERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1968 PEACHTREE RD NW, ATLANTA, GA 30309-1281
(404) 605-5000
Mailing address
1984 PEACHTREE RD NW STE 505, ATLANTA, GA 30309-5219
(404) 352-1409
(404) 352-8176
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
008363
GA
Other
Enumeration date
06/13/2017
Last updated
06/13/2017
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