Moody, Ashley Tumlin

Moody, Ashley Tumlin is an individual health care provider with primary practice located at 101 S Ravenel St Suite 230, Florence SC 29506-2618. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Moody, Ashley Tumlin can be contacted via phone (843) 777-7043.

Contact Information

Primary practice address
101 S Ravenel St Suite 230 Florence SC 29506-2618
Fax: (843) 777-7041
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 730 South Carolina

Profile Details

NPI number 1114083680
LBN Legal business name Moody, Ashley Tumlin
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2006
Last updated Feb 15th, 2021 - 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 1114083680 NPPES
South Carolina MEDICAID 0503PA

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