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ASHLEY COOPER-DAVENPORT AAC

Nursing Yellow Pages

Gainesville, Georgia

Provider NPI: 1922054824

Provider Information:
 ASHLEY  COOPER-DAVENPORT AAC


Practice Location:
743 SPRING ST NE  GAINESVILLE, GA 30501 US
Tel: 770-532-7179  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y367H00000XPhysician Assistants & Advanced Practice Nursing Providers
Anesthesiologist Assistant
GA003718

Other Provider Identifiers:

IssuerNumberStateType
206182101AGA05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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