MEDICARE: ASHLEY RENEE HOWARD MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	100357	GA

General Provider Information

NPI Number	:	1144801028
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY RENEE HOWARD MD

Provider Business Mailing Address
First Line	:	3355 CASCADE RD SW
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30311-3678
Country	:	US
Telephone Number	:	404-616-7979
Fax Number	:

Provider Business Practice Location Address
First Line	:	3355 CASCADE RD SW
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30311-3678
Country	:	US
Telephone Number	:	404-616-7979
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/21/2021
Last Update Date	:	06/26/2024

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