Provider Demographics
NPI:1679112387
Name:HIGBY, ASHLEY ROSE (PA)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:ROSE
Last Name:HIGBY
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:1555 DOCTORS DR STE 101
Mailing Address - Street 2:
Mailing Address - City:LAGRANGE
Mailing Address - State:GA
Mailing Address - Zip Code:30240-4132
Mailing Address - Country:US
Mailing Address - Phone:706-803-7540
Mailing Address - Fax:706-803-8816
Practice Address - Street 1:1555 DOCTORS DR STE 101
Practice Address - Street 2:
Practice Address - City:LAGRANGE
Practice Address - State:GA
Practice Address - Zip Code:30240-4132
Practice Address - Country:US
Practice Address - Phone:706-803-7540
Practice Address - Fax:706-803-8816
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-27
Last Update Date:2024-05-30
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant