Individual
ASHLEY MINCHEW DEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1900 TEBEAU ST, WAYCROSS, GA 31501-6357
(912) 287-2555
Mailing address
2061 US HIGHWAY 1 S, ALMA, GA 31510-5004
(912) 281-2107
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN275531
GA
363LF0000X
Family Nurse Practitioner
Primary
RN275531
GA
Other
Enumeration date
05/17/2023
Last updated
07/31/2023
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