Individual
ASHANTI EPPERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
232 SILVER FOX TRL, DALLAS, GA 30157-8282
(470) 785-3145
Mailing address
5830 E 2ND ST STE 70009303, CASPER, WY 82609-4308
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
LDO002644
GA
Other
Enumeration date
07/31/2023
Last updated
07/31/2023
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