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Individual

MRS. ASHLEY KEIR BURCHFIELD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
8371 HIGHWAY 72 W, SUITE 100, MADISON, AL 35758-9505
(256) 726-6970
(256) 726-6971
Mailing address
PO BOX 2705, HUNTSVILLE, AL 35804-2705
(256) 265-7791
(256) 265-7767

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
00022770
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
51523520
BLUE CROSS BLUE SHIELD
05
630103043
AL
Enumeration date
07/18/2006
Last updated
11/29/2010
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