Individual
DR. ASHLEY ABIDE JETER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2910 TRICOM ST, NORTH CHARLESTON, SC 29406-9350
(843) 572-9211
(843) 572-0457
Mailing address
PO BOX 751874, CHARLOTTE, NC 28275-1874
(843) 402-5200
(843) 402-5296
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
30018
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300187
—
SC
Enumeration date
06/28/2007
Last updated
10/02/2025
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