Individual
ASHLEY BROADWAY MASTERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1990 HOLTON AVE E, BIG STONE GAP, VA 24219-3350
(276) 523-3111
Mailing address
1523 HAMNER HOLLOW RD, BIG STONE GAP, VA 24219-4433
(423) 827-5379
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0116032308
VA
Other
Enumeration date
08/24/2018
Last updated
02/11/2021
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