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NPI Code Detail

MEDICARE: DIANE ELIZABETH ASHBY M.D.

MEDICARE:   DIANE ELIZABETH ASHBY  M.D.
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 Physician17308WV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1720020712
Entity Type Code : Individual
Provider Name (Legal Business Name) : DIANE ELIZABETH ASHBY M.D.
Provider Business Mailing Address
First Line : 502 MAIN ST W
Second Line :
City : OAK HILL
State : WV
Zip : 25901-3416
Country : US
Telephone Number : 304-465-1030
Fax Number : 304-469-9811
Provider Business Practice Location Address
First Line : 207 W MAPLE AVE
Second Line :
City : FAYETTEVILLE
State : WV
Zip : 25840-1413
Country : US
Telephone Number : 304-574-1575
Fax Number : 304-469-9811
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2006
Last Update Date : 10/22/2007

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Directions to “ DIANE ELIZABETH ASHBY M.D.” Practice Location

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