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NPI Code Detail

MEDICARE: ASHLEY DARNELL MCINTYRE MD

MEDICARE: ASHLEY DARNELL MCINTYRE MD
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
1208D00000XGeneral Practice Physician00025985AL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
20102102OTHERUNITED HEALTHCARE
3051528013OTHERBLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1699747709
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY DARNELL MCINTYRE MD
Provider Business Mailing Address
First Line : 129 MITYLENE PARK LN
Second Line :
City : MONTGOMERY
State : AL
Zip : 36117-7302
Country : US
Telephone Number : 334-279-8180
Fax Number : 334-279-8214
Provider Business Practice Location Address
First Line : 129 MITYLENE PARK LN
Second Line :
City : MONTGOMERY
State : AL
Zip : 36117-7302
Country : US
Telephone Number : 334-279-8180
Fax Number : 334-279-8214
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2006
Last Update Date : 02/09/2017

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