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Organization

ASHE MEDICAL ASSOCIATES PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. SHAWN DAIN (OFFICE MANAGER)
(336) 246-7161
Entity
Organization

Contact information

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

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0105W
BCBS
NC
05
890105W
NC
Enumeration date
06/01/2006
Last updated
10/28/2010
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