MEDICARE: ASHLEY MASSEY CD(DONA)

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	374J00000X	Doula

General Provider Information

NPI Number	:	1730959420
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY MASSEY CD(DONA)

Provider Business Mailing Address
First Line	:	110 RIDGELAND DR
Second Line	:
City	:	COLUMBUS
State	:	MS
Zip	:	39705-5301
Country	:	US
Telephone Number	:	269-615-8572
Fax Number	:

Provider Business Practice Location Address
First Line	:	110 RIDGELAND DR
Second Line	:
City	:	COLUMBUS
State	:	MS
Zip	:	39705-5301
Country	:	US
Telephone Number	:	269-615-8572
Fax Number	:

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

Provider Enumeration Date	:	01/04/2024
Last Update Date	:	01/04/2024

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Directions to “ ASHLEY MASSEY CD(DONA)” Practice Location

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