Provider Demographics
NPI:1770569204
Name:ASH, ZAVIER CARVEL (MD)
Entity type:Individual
Prefix:DR
First Name:ZAVIER
Middle Name:CARVEL
Last Name:ASH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 390005
Mailing Address - Street 2:
Mailing Address - City:SNELLVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30039-0001
Mailing Address - Country:US
Mailing Address - Phone:404-296-8500
Mailing Address - Fax:888-491-8762
Practice Address - Street 1:1475 MONTREAL RD
Practice Address - Street 2:
Practice Address - City:TUCKER
Practice Address - State:GA
Practice Address - Zip Code:30084-6922
Practice Address - Country:US
Practice Address - Phone:678-292-6606
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-16
Last Update Date:2022-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA047692207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000863464EMedicaid
GA000863464FMedicaid