Cooper-Davenport, Ashley

Cooper-Davenport, Ashley is an individual health care provider with primary practice located at 743 Spring St Ne , Gainesville GA 30501-3715. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant, which is considered as her primary health care specialty. Cooper-Davenport, Ashley can be contacted via phone (770) 532-7179.

Contact Information

Primary practice address
743 Spring St Ne Gainesville GA 30501-3715
Phone: (770) 532-7179
Fax: (770) 534-1312
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant 367H00000X 003718 Georgia

Profile Details

NPI number 1922054824
LBN Legal business name Cooper-Davenport, Ashley
Credentials AAC
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2006
Last updated Apr 12th, 2012 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922054824 NPPES
Georgia MEDICAID 206182101A

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