Individual provider · Type 1 NPI

Ashlee T. Mack, H.I.S.

Student in an Organized Health Care Education/Training Program · Roswell, GA

NPI number 1366632663 Active

Practice location

11490 Alpharetta Hwy, #500
Roswell, GA 30076-3811

Call (678) 566-7463 Map

Fax (678) 566-1565

Mailing address

3268 US Highway 441 S
Okeechobee, FL 34974-6239

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XIIAP000070 (GA)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1366632663

Ashlee T. Mack, H.I.S.'s National Provider Identifier is 1366632663, issued on Aug 1, 2007. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Roswell, GA. The record was last updated on Aug 1, 2007.