Doctor Name: | ASHLEY DARNELL MCINTYRE |
NPI Number: | 1699747709 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 00025985 |
Business Practice Address: | 128 Mitylene Park Ln Montgomery, AL - 361173758 |
Business Phone Number: | 3342798180 |
Business Fax Number: | 3342798214 |
Mailing Address: | 128 Mitylene Park Ln, MONTGOMERY |
State: | AL |
Postal Code: | 361173758 |
Phone Number: | 3342798180 |
Fax Number: | 3342798214 |
NPI Enumeration Date: | 02/02/2006 |
NPI Last Update Date: | 02/16/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 00025985 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |