MEDICARE: DR. MARIE GEORGETTE ASHBY D.C.

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
1	111N00000X	Chiropractor	8388	FL

General Provider Information

NPI Number	:	1194158287
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARIE GEORGETTE ASHBY D.C.

Provider Business Mailing Address
First Line	:	400 CLYDE MORRIS BLVD
Second Line	:	SUITE C
City	:	ORMOND BEACH
State	:	FL
Zip	:	32174-8171
Country	:	US
Telephone Number	:	386-672-3305
Fax Number	:

Provider Business Practice Location Address
First Line	:	400 CLYDE MORRIS BLVD
Second Line	:	SUITE C
City	:	ORMOND BEACH
State	:	FL
Zip	:	32174-8171
Country	:	US
Telephone Number	:	386-672-3305
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/13/2013
Last Update Date	:	08/13/2013

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