Individual ProviderAshley WillisPodiatristPodiatric Medicine & Surgery Service ProvidersPractice Address1670 Clairmont Rd, Decatur, GA 30033-4004(404) 321-6111PECOS EnrollmentBased on the most recent information from CMS, provider Ashley Willis does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1780035444Provider TypeIndividualFull NameWillis, AshleyCredentialDPMGenderFemaleSole ProprietorNoEnumeration Date6/23/2016Last Updated7/8/2022Contact InformationPractice LocationPractice Address1670 Clairmont Rd, Decatur, GA 30033-4004Phone(404) 321-6111FaxUnlisted FaxMailing LocationMailing Address1670 Clairmont Rd, Decatur, GA 30033-4004PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode213ES0103XPrimaryDescriptionPodiatristPodiatric Medicine & Surgery Service ProvidersLicensePOD001413GeorgiaCode213E00000XDescriptionPodiatristPodiatric Medicine & Surgery Service ProvidersLicensePOD001413Georgia