Individual
DR. ELLIE LEIGH DASHIELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 FREEDOM WAY, AUGUSTA, GA 30904-6258
(706) 733-0188
Mailing address
2704 MUSCADINE DR, AUGUSTA, GA 30909-1708
(706) 733-0188
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT010769
GA
Other
Enumeration date
08/20/2015
Last updated
08/20/2015
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