Ashe, Andrea Teresa
Ashe, Andrea Teresa is an sole proprietor health care provider with primary practice located at 4666 Randalwood Dr , Stone Mountain GA 30083-4350. She recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as her primary health care specialty. Ashe, Andrea Teresa can be contacted via phone (404) 343-4840.Contact Information
Primary practice address
4666 Randalwood Dr
Stone Mountain GA 30083-4350
Phone: (404) 343-4840
Fax: (678) 705-5512
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Community/Behavioral Health | 251S00000X | CLA001274 | Georgia |
Profile Details
| NPI number | 1891174256 |
|---|---|
| LBN Legal business name | Ashe, Andrea Teresa |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 19th, 2015 |
| Last updated | May 19th, 2015 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891174256 | NPPES |
| Georgia | MEDICAID | 056582532A |
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