Provider Demographics
NPI:1215382809
Name:ROSS, ASHLEIGH GUINN (DO)
Entity Type:Individual
Prefix:DR
First Name:ASHLEIGH
Middle Name:GUINN
Last Name:ROSS
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:ASHLEIGH
Other - Middle Name:ELIZABETH
Other - Last Name:GUINN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:WRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF
Mailing Address - Street 2:3640 COLONEL GLENN HWY
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45435-0001
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2665 N DECATUR RD STE 730
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30033-6148
Practice Address - Country:US
Practice Address - Phone:404-508-4320
Practice Address - Fax:404-508-4112
Is Sole Proprietor?:No
Enumeration Date:2016-05-02
Last Update Date:2022-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA89091174400000X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No174400000XOther Service ProvidersSpecialist