Individual
DR. ASHLEY WOOTTON CROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-8905
(843) 792-1414
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
35662
SC
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
LL35662
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LL35662
SOUTH CAROLINA LLR
SC
Enumeration date
06/14/2013
Last updated
07/21/2022
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