Individual
ASHLEY L PARK
Active
Individual
ASHLEY L PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
26245
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06629278
—
MS
05
—
100156885
—
MS
05
—
100156886
—
MS
05
—
100156887
—
MS
05
—
145915001
—
AR
05
—
Q016952
—
TN
Enumeration date
09/29/2005
Last updated
02/16/2023
Update your record
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