Provider Demographics
NPI:1588007181
Name:ASKINS, IVIS N
Entity Type:Individual
Prefix:MRS
First Name:IVIS
Middle Name:N
Last Name:ASKINS
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 1:4775 SMOKESTONE DR
Mailing Address - Street 2:
Mailing Address - City:DOUGLASVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30135-4992
Mailing Address - Country:US
Mailing Address - Phone:678-590-5849
Mailing Address - Fax:855-291-1693
Practice Address - Street 1:4775 SMOKESTONE DR
Practice Address - Street 2:
Practice Address - City:DOUGLASVILLE
Practice Address - State:GA
Practice Address - Zip Code:30135-4992
Practice Address - Country:US
Practice Address - Phone:678-590-5849
Practice Address - Fax:855-291-1693
Is Sole Proprietor?:No
Enumeration Date:2013-04-12
Last Update Date:2013-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy