Individual
ASHLEIGH ELIZABETH JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
517 CHESNEE HWY STE A, GAFFNEY, SC 29341-2709
(864) 487-7655
(864) 487-8718
Mailing address
PO BOX 277723, ATLANTA, GA 30384-7723
(864) 560-4123
(864) 560-4023
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5109
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6496PA
—
SC
01
—
SCR441J577
MEDICARE PIN
SC
Enumeration date
10/16/2023
Last updated
11/19/2024
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