MEDICARE: MS. ASHLEY HESS PA-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	363A00000X	Physician Assistant	0010-05604	NC

General Provider Information

NPI Number	:	1437540416
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ASHLEY HESS PA-C

Provider Business Mailing Address
First Line	:	855 SAM NEWELL RD STE 205
Second Line	:
City	:	MATTHEWS
State	:	NC
Zip	:	28105-7664
Country	:	US
Telephone Number	:	980-432-1027
Fax Number	:	980-432-1028

Provider Business Practice Location Address
First Line	:	855 SAM NEWELL RD STE 205
Second Line	:
City	:	MATTHEWS
State	:	NC
Zip	:	28105-7664
Country	:	US
Telephone Number	:	980-432-1027
Fax Number	:	980-432-1028

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

Provider Enumeration Date	:	02/11/2015
Last Update Date	:	10/20/2022

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