Individual
DR. DERRICK ASHONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5665 NEW NORTHSIDE DR STE 320, ATLANTA, GA 30328-5834
(404) 961-2745
Mailing address
1830 E MONUMENT ST STE 6-100, BALTIMORE, MD 21287-0020
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0309
MD
207P00000X
Emergency Medicine Physician
Primary
P080100
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/09/2014
Last updated
09/14/2018
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