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NPI Code Detail

MEDICARE: ASHLEY LEIGH SMITH

MEDICARE: ASHLEY LEIGH SMITH
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
1207ZP0101XAnatomic Pathology PhysicianRTL22-1154NC

General Provider Information

NPI Number : 1831770106
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY LEIGH SMITH
Provider Business Mailing Address
First Line : 196 ASHLEY AVE
Second Line : ROOM 202 MAIN HOSPITAL
City : CHARLESTON
State : SC
Zip : 29425-8908
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 196 ASHLEY AVE
Second Line : ROOM 202 MAIN HOSPITAL
City : CHARLESTON
State : SC
Zip : 29425-8908
Country : US
Telephone Number : 843-792-1912
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/19/2021
Last Update Date : 04/17/2026

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