Individual
JOEL THOMAS ASHWORTH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
86 HARRIS RD, KILMARNOCK, VA 22482-3845
(804) 435-2651
(804) 435-2302
Mailing address
86 HARRIS RD, KILMARNOCK, VA 22482-3845
(804) 435-2651
(804) 435-2302
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101029898
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C05379
GROUP PTAN
VA
01
—
C05380
GROUP PTAN
VA
01
—
C05381
GROUP PTAN
VA
01
—
C05382
GROUP PTAN
VA
Enumeration date
04/26/2006
Last updated
01/06/2016
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