Provider Demographics
NPI:1003850926
Name:SEARCY, ASHBURN P (MD)
Entity Type:Individual
Prefix:
First Name:ASHBURN
Middle Name:P
Last Name:SEARCY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1012 ACWORTH DUE WEST ROAD
Mailing Address - Street 2:
Mailing Address - City:KENNESAW
Mailing Address - State:GA
Mailing Address - Zip Code:30152-4006
Mailing Address - Country:US
Mailing Address - Phone:770-424-6519
Mailing Address - Fax:770-424-6520
Practice Address - Street 1:600 MEMORIAL DRIVE WEST
Practice Address - Street 2:WELLSTAR PAULDING HOSPITAL
Practice Address - City:DALLAS
Practice Address - State:GA
Practice Address - Zip Code:30132-1335
Practice Address - Country:US
Practice Address - Phone:770-443-7085
Practice Address - Fax:770-505-7154
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA011058207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
D41935Medicare UPIN
GA05BDJZGMedicare ID - Type Unspecified