Provider Demographics
NPI:1740639392
Name:ASTURIAS, ARIEL
Entity type:Individual
Prefix:MR
First Name:ARIEL
Middle Name:
Last Name:ASTURIAS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:465 MACKINAW DR
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:GA
Mailing Address - Zip Code:30620-2129
Mailing Address - Country:US
Mailing Address - Phone:803-569-9392
Mailing Address - Fax:
Practice Address - Street 1:465 MACKINAW DR
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:GA
Practice Address - Zip Code:30620-2129
Practice Address - Country:US
Practice Address - Phone:803-569-9392
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-05
Last Update Date:2016-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care