Individual
MRS. ASHLEY MARIE BEAUCHAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
3368 GREYSTONE WAY, VALDOSTA, GA 31605-1096
(229) 242-6670
(229) 242-6671
Mailing address
3368 GREYSTONE WAY, VALDOSTA, GA 31605-1096
(229) 242-6670
(229) 242-6671
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT002521
GA
Other
Enumeration date
08/04/2014
Last updated
08/04/2014
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