Individual
ASHLEY ESHAM GUY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C.
Contact information
Practice address
6801 AIRPORT BLVD, EMERGENCY DEPT, MOBILE, AL 36608-3709
(251) 633-1900
(251) 633-1997
Mailing address
394 FRUIT TREE LN, FAIRHOPE, AL 36532-7162
(251) 408-1700
(251) 633-1997
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-329
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102I970061
MEDICARE
AL
05
—
148739
—
AL
01
—
511-35523
BLUE CROSS
AL
Enumeration date
05/28/2006
Last updated
03/02/2017
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