Individual
ASHLEY AGBULOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C-AA
Contact information
Practice address
1000 JOHNSON FY RD NE, ATLANTA, GA 30342-1606
(732) 642-3281
Mailing address
318 ADAMS CT, MANALAPAN, NJ 07726-8701
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
8492
GA
Other
Enumeration date
10/10/2017
Last updated
10/10/2017
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