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NPI Code Detail

MEDICARE: EMILY ASHLEY

MEDICARE: EMILY ASHLEY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician0101-246465VA

General Provider Information

NPI Number : 1922417237
Entity Type Code : Organization
Provider Name (Legal Business Name) : EMILY ASHLEY
Provider Business Mailing Address
First Line : 13000 RIVERS BEND BLVD
Second Line : SUITE C
City : CHESTER
State : VA
Zip : 23836-8632
Country : US
Telephone Number : 804-571-5000
Fax Number : 804-518-1314
Provider Business Practice Location Address
First Line : 95 MEDICAL PARK BLVD
Second Line :
City : PETERSBURG
State : VA
Zip : 23805-9280
Country : US
Telephone Number : 804-504-8100
Fax Number : 804-861-0050
Authorized Official
Title or Position : OWNER/PRACTITIONER
Name : SILKY BAGGA
Credential : M.D.
Telephone Number : 804-571-5000
Provider Enumeration Date : 08/12/2014
Last Update Date : 08/12/2014

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