Ashlee Yawn
Individual provider Active NPI Pharmacist · Eastman, GA
NPI 1114649142 · NPPES record last updated Sep 15, 2022
Key facts
- NPI
- 1114649142
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RPH-033376 (GA)
- Practice address
- 535 Oak St
Eastman, GA 31023-6745 - Phone
- (478) 374-4713
- NPI assigned
- Sep 15, 2022
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH-033376 | GA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH-033376 | GA | Yes |
Addresses
Primary practice location
535 Oak St
Eastman, GA 31023-6745
Mailing address
535 Oak St
Eastman, GA 31023-6745
Other providers in Eastman, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 15, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.