# ASHE MEDICAL ASSOCIATES PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346287059
- **Authorized official:** MR. SHAWN DAIN (OFFICE MANAGER)
- **Authorized official phone:** (336) 246-7161

## Contact information

- **Practice address:** 151 MEDICAL PARK DRIVE, JEFFERSON, NC 28640
- **Practice address phone:** (336) 246-7161
- **Practice address fax:** (336) 246-6183
- **Mailing address:** PO BOX 765, JEFFERSON, NC 28640
- **Mailing address phone:** (336) 246-7161
- **Mailing address fax:** (336) 246-6183

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/01/2006
- **Last updated:** 10/28/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0105W | BCBS | NC |
| 05 | — | 890105W | — | NC |