Lesley, Ashley Grace

Lesley, Ashley Grace is an individual health care provider with primary practice located at 5 Stevens St Ste 100 , Greenville SC 29605-4528. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Aerospace Medicine, Allopathic & Osteopathic Physicians / Glaucoma Specialist. Allopathic & Osteopathic Physicians / Glaucoma Specialist is her primary health care specialty. Lesley, Ashley Grace can be contacted via phone (864) 250-6487.

Contact Information

Primary practice address
5 Stevens St Ste 100 Greenville SC 29605-4528
Phone: (864) 250-6487
Fax: (864) 250-6475
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X A102813 California
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X D0073579 Maryland
Allopathic & Osteopathic Physicians / Aerospace Medicine 2083A0100X 01058160A Indiana
Allopathic & Osteopathic Physicians / Glaucoma Specialist 207WX0009X 51973 South Carolina

Profile Details

NPI number 1790761039
LBN Legal business name Lesley, Ashley Grace
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2005
Last updated Sep 8th, 2023 - about 2 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 1790761039 NPPES
South Carolina MEDICAID 519737

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