Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 80327 | GA |
NPI | 1063659696 |
---|---|
Provider Name | Ashly Elizabeth Joseph |
First Address | Stockbridge, GA 30281-7340 |
Second Address | Stockbridge, GA 30281 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/01/2009 |
Last Update Date | 28/08/2018 |