Healthcare Provider Details

I. General information

NPI: 1700238094
Provider Name (Legal Business Name): ASHLEY MCGUIRE D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/11/2016
Last Update Date: 11/09/2020
Certification Date: 11/09/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

315 S SALEM ST STE 220
APEX NC
27502-1848
US

IV. Provider business mailing address

315 S SALEM ST STE 220
APEX NC
27502-1848
US

V. Phone/Fax

Practice location:
  • Phone: 919-590-0637
  • Fax: 919-590-0638
Mailing address:
  • Phone: 919-590-0637
  • Fax: 919-590-0638

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number4667
License Number StateNC

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: