Provider Demographics
NPI:1861953085
Name:BLASI, ASHLEY LAUREN (DO)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:LAUREN
Last Name:BLASI
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 MEMORIAL LN
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31410-1220
Mailing Address - Country:US
Mailing Address - Phone:912-897-3766
Mailing Address - Fax:912-898-0809
Practice Address - Street 1:1001 MEMORIAL LN
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31410-1220
Practice Address - Country:US
Practice Address - Phone:912-897-3766
Practice Address - Fax:912-898-0809
Is Sole Proprietor?:No
Enumeration Date:2019-03-29
Last Update Date:2022-09-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA93165207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine