Individual
ASHLEY TOLBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
40 BALDWIN AVE, LUGOFF, SC 29078-9406
(803) 408-3262
(803) 408-8895
Mailing address
40 BALDWIN AVE, PO BOX 366, LUGOFF, SC 29078-9406
(803) 408-3262
(803) 408-8895
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
18715
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18715
SC LIC
SC
Enumeration date
11/10/2014
Last updated
04/14/2016
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