Individual
ASHLEY DARNELL MCINTYRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
129 MITYLENE PARK LN, MONTGOMERY, AL 36117-7302
(334) 279-8180
(334) 279-8214
Mailing address
129 MITYLENE PARK LN, MONTGOMERY, AL 36117-7302
(334) 279-8180
(334) 279-8214
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
00025985
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009991115
—
AL
01
—
0102102
UNITED HEALTHCARE
—
01
—
051528013
BLUE CROSS BLUE SHIELD
—
Enumeration date
02/02/2006
Last updated
02/09/2017
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