Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ASHLEY L JACK, PA-C
Active Sole ProprietorASHLEY L JACK, PA-C is a Physician Assistant healthcare provider located in CENTERVILLE, Georgia. NPI 1134493620 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · CENTERVILLE, GA
Registration Details
- NPI Number
- 1134493620
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 29, 2012 (14.310785856657 yrs)
- Last Updated
- May 12, 2015
- Sole Proprietor
- Yes
Practice Information
- Address
-
655 SEVENTH STREET, BLDG 700CENTERVILLE, GA, 31028Browse GA providers · Browse ZIP 31028
- Phone
- 3039318976
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in CENTERVILLE, GA
| Name | Credential | NPI |
|---|---|---|
| BHUMI PATEL | PA-C | 1063291631 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.