Ashade, Antonia

Ashade, Antonia is an individual health care provider with primary practice located at 805 Pamplico Hwy , Florence SC 29505-6047. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Ashade, Antonia can be contacted via phone (843) 792-1414.

Contact Information

Primary practice address
805 Pamplico Hwy Florence SC 29505-6047
Phone: (843) 792-1414
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X TRN21570 Florida
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD83774 South Carolina
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME134799 Florida
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 79699 Georgia
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 83774 South Carolina

Profile Details

NPI number 1770829798
LBN Legal business name Ashade, Antonia
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2012
Last updated Sep 14th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770829798 NPPES
South Carolina MEDICAID GA2282

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