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NPI Code Detail

MEDICARE: ASHLEY JALISA CROSBY MD

MEDICARE:   ASHLEY JALISA CROSBY  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
1207ZP0102XAnatomic Pathology & Clinical Pathology Physician2023-03419NC
2207ZB0001XBlood Banking & Transfusion Medicine Physician2023-03419NC

General Provider Information

NPI Number : 1932781671
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY JALISA CROSBY MD
Provider Business Mailing Address
First Line : MEDICAL CENTER BOULEVARD
Second Line :
City : WINSTON SALEM
State : NC
Zip : 27157-0001
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : MEDICAL CENTER BOULEVARD
Second Line :
City : WINSTON SALEM
State : NC
Zip : 27157-0001
Country : US
Telephone Number : 336-716-3770
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/22/2021
Last Update Date : 02/10/2026

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Directions to “ ASHLEY JALISA CROSBY MD” Practice Location

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