Provider Demographics
NPI:1265174700
Name:RAMGEET, ASHLEY (RDN,LD)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:RAMGEET
Suffix:
Gender:F
Credentials:RDN,LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 BARONE AVE NE APT 7402
Mailing Address - Street 2:
Mailing Address - City:BROOKHAVEN
Mailing Address - State:GA
Mailing Address - Zip Code:30329-1876
Mailing Address - Country:US
Mailing Address - Phone:770-289-5786
Mailing Address - Fax:
Practice Address - Street 1:4434 HUGH HOWELL RD
Practice Address - Street 2:
Practice Address - City:TUCKER
Practice Address - State:GA
Practice Address - Zip Code:30084-4905
Practice Address - Country:US
Practice Address - Phone:770-491-7187
Practice Address - Fax:770-491-7192
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-13
Last Update Date:2022-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLND10528133V00000X
GALD04484133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered