Individual
ASHLEY ELIZABETH BORUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21 ORTHO LN, ATLANTA, GA 30329-2315
(404) 686-7593
Mailing address
1364 CLIFTON RD NE, ATLANTA, GA 30322-1059
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN304429
GA
363LA2100X
Acute Care Nurse Practitioner
RN304429
GA
Other
Enumeration date
01/04/2024
Last updated
03/12/2025
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