| Doctor Name: | ASHLEY RAE GORE |
| NPI Number: | 1003130048 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP-C |
| License Number: | RN149725 NP |
| Business Practice Address: | 275 Collier Rd Nw Suite 300 Atlanta, GA - 303091709 |
| Business Phone Number: | 4046052800 |
| Business Fax Number: | 4043515983 |
| Mailing Address: | 275 Collier Rd Nw, Suite 300 ATLANTA |
| State: | GA |
| Postal Code: | 303091709 |
| Phone Number: | 4046052800 |
| Fax Number: | 4043515983 |
| NPI Enumeration Date: | 03/19/2010 |
| NPI Last Update Date: | 08/19/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | RN149725 NP |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |