Provider Demographics
NPI:1477875102
Name:PRICE, ASHLEY MUENCKLER
Entity Type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:MUENCKLER
Last Name:PRICE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:410 JUDSON XING
Mailing Address - Street 2:
Mailing Address - City:APPLING
Mailing Address - State:GA
Mailing Address - Zip Code:30802-3632
Mailing Address - Country:US
Mailing Address - Phone:706-288-4061
Mailing Address - Fax:
Practice Address - Street 1:410 JUDSON XING
Practice Address - Street 2:
Practice Address - City:APPLING
Practice Address - State:GA
Practice Address - Zip Code:30802-3632
Practice Address - Country:US
Practice Address - Phone:706-288-4061
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-02-22
Last Update Date:2016-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator