Individual
MR. STANLEY ASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
300 W HOSPITAL RD, INTERDISCPLINARY PAIN MANAGEMENT CENTER, FORT GORDON, GA 30905-5741
(706) 787-7001
(706) 787-0196
Mailing address
300 W HOSPITAL RD, INTERDISCPLINARY PAIN MANAGEMENT CENTER, FORT GORDON, GA 30905-5741
(706) 787-7001
(706) 787-0196
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
LPN049887
GA
164W00000X
Licensed Practical Nurse
Primary
PR47076
SC
Other
Enumeration date
07/27/2015
Last updated
07/27/2015
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