Doctor Name: | MRS. ASHLEY HOWARD MONTCALM |
NPI Number: | 1063760684 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP-C |
License Number: | RN181675 |
Business Practice Address: | 210 Clover Reach Peachtree City, GA - 302691657 |
Business Phone Number: | 7704879604 |
Business Fax Number: | 7706310540 |
Mailing Address: | 210 Clover Reach, P.o. Box 2505 PEACHTREE CITY |
State: | GA |
Postal Code: | 302691657 |
Phone Number: | 7704879604 |
Fax Number: | 7706310540 |
NPI Enumeration Date: | 08/29/2012 |
NPI Last Update Date: | 08/29/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | RN181675 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |