Provider Demographics
NPI:1700776754
Name:HALCOMB, ASHLEY NICOLE (DC)
Entity type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:NICOLE
Last Name:HALCOMB
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:541 T JOHNSON RD NE
Mailing Address - Street 2:
Mailing Address - City:RANGER
Mailing Address - State:GA
Mailing Address - Zip Code:30734-7830
Mailing Address - Country:US
Mailing Address - Phone:706-307-9275
Mailing Address - Fax:
Practice Address - Street 1:541 T JOHNSON RD NE
Practice Address - Street 2:
Practice Address - City:RANGER
Practice Address - State:GA
Practice Address - Zip Code:30734-7830
Practice Address - Country:US
Practice Address - Phone:706-307-9275
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-09
Last Update Date:2025-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIRO11407111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor