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1477146777
ASHLEY ELIZABETH BLACK
CEDARTOWN, GA
NPI
1477146777
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN251510)
Enumeration Date
2021-02-17
Last Update Date
2021-02-17
Business Address
ASHLEY ELIZABETH BLACK FNP
118 E GIRARD AVE
CEDARTOWN, GA 30125-2712
Phone number: 678-246-5174
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Mailing Address
ASHLEY ELIZABETH BLACK FNP
13570 N MAIN ST
TRENTON, GA 30752-2012
Phone number: 706-956-2665
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