Doctor Name: | MR. ASHLEY MAURICE DOE |
NPI Number: | 1043674088 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 4566 Brown Rd Ayden, NC - 285137157 |
Business Phone Number: | 2522297914 |
Business Fax Number: | |
Mailing Address: | 4566 Brown Rd, AYDEN |
State: | NC |
Postal Code: | 285137157 |
Phone Number: | 2522297914 |
Fax Number: | |
NPI Enumeration Date: | 04/06/2016 |
NPI Last Update Date: | 04/06/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 172A00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Driver |
Taxonomy Specialization: | |
Taxonomy Definition: | A person employed to operate a motor vehicle as a carrier of persons or property. |