Individual
ASHTON ELIZABETH MCNUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3330 SISKEY PKWY, MATTHEWS, NC 28105-3222
(704) 316-9001
(704) 316-9008
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 316-9001
(704) 316-9008
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-10621
NC
363A00000X
Physician Assistant
50.005654RX
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0329636
—
OH
Enumeration date
01/08/2015
Last updated
12/08/2023
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