Individual
ASHLEY HELEN MALCOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
705 MAIN ST, DANVILLE, VA 24541-1803
(434) 791-4122
(434) 791-4126
Mailing address
705 MAIN ST, DANVILLE, VA 24541-1803
(434) 791-4122
(434) 791-4126
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0101250748
VA
207Q00000X
Family Medicine Physician
Primary
036124998
IL
207R00000X
Internal Medicine Physician
036124998
IL
208M00000X
Hospitalist Physician
036124998
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
15787696910
—
VA
01
—
491863
MEDICARE NGS
VA
01
—
VV3910A
MEDICARE PART B
VA
Enumeration date
06/14/2007
Last updated
03/12/2018
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