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Individual

DR. JOSEPHINE WYATT ASHMEAD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207ZN0500X
Neuropathology Physician
17447
MS
207ZP0101X
Anatomic Pathology Physician
17447
MS
207ZP0213X
Pediatric Pathology Physician
Primary
17447
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00122583
MS
Enumeration date
06/04/2013
Last updated
12/02/2013
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