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Individual

ASHFORD MCALLISTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3949 S COBB DR SE, SMYRNA, GA 30080-6342
(770) 434-0710
Mailing address
PO BOX 2994, KENNESAW, GA 30156-9181
(770) 779-2171

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
043702
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000754091
GA
Enumeration date
01/18/2006
Last updated
09/27/2013
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