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
Phone: (843) 777-7043
Fax: (843) 777-7041
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1114083680 | NPPES |
South Carolina | MEDICAID | 0503PA |
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