Individual
ASHLEY KING WAFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
745 POPLAR RD, NEWNAN, GA 30265-1618
(770) 400-1000
Mailing address
955 JUNIPER ST NE UNIT 3028, ATLANTA, GA 30309-5117
(678) 895-8084
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
GA
Other
Enumeration date
10/31/2018
Last updated
05/16/2023
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