Individual
MRS. CARIN ASHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
318 WEST PIKE ST., SUITE 104, LAWRENCEVILLE, GA 30045
(678) 377-2833
(678) 377-2882
Mailing address
4040 WHISPERING PINES TRAIL, CONYERS, GA 30012
(770) 482-8105
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
002039
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00817286A
—
GA
01
—
10037621
AMERIGROUP PROVIDER #
GA
01
—
307922
WELLCARE PROVIDER #
GA
Enumeration date
12/05/2006
Last updated
07/09/2007
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