Individual
ASHLEY E MYATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5653 FRIST BLVD, SUITE 731, HERMITAGE, TN 37076-2062
(615) 885-2778
(615) 986-6052
Mailing address
5653 FRIST BLVD, SUITE 731, HERMITAGE, TN 37076-2062
(615) 885-2778
(615) 986-6052
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
2123
TN
363AM0700X
Medical Physician Assistant
Primary
2123
TN
363AS0400X
Surgical Physician Assistant
2123
TN
Other
Enumeration date
03/16/2012
Last updated
05/09/2014
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