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NPI Code Detail

MEDICARE: ASHLEY LEA DANGERFIELD MLS

MEDICARE: ASHLEY LEA DANGERFIELD MLS
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
1246QM0706XMedical TechnologistSC

General Provider Information

NPI Number : 1881351492
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY LEA DANGERFIELD MLS
Provider Business Mailing Address
First Line : 112 GAURA LN
Second Line :
City : SUMMERVILLE
State : SC
Zip : 29483-8446
Country : US
Telephone Number : 843-822-3121
Fax Number :
Provider Business Practice Location Address
First Line : 171 ASHLEY AVE
Second Line :
City : CHARLESTON
State : SC
Zip : 29425-0100
Country : US
Telephone Number : 843-792-2671
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/18/2021
Last Update Date : 11/18/2021

Similar Medicare Providers

1346282092 — RICHARD T TENCZAR MD
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1922959196 — MEGAN NICOLE MCDOWELL MSN, APRN, NNP-BC
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1164472593 — JENNIFER PRICE GOLDSTEIN MD
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1982603403 — DR. DAVID WILLIAM PLOTH MD
Practice Location Address:
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1811987407 — MRS. VICKI E ALLEN PA C
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Directions to “ ASHLEY LEA DANGERFIELD MLS” Practice Location

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