Individual
JIMMY ASHBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6001 WILORA LAKE RD, CHARLOTTE, NC 28212-2833
(704) 563-2922
(704) 900-6167
Mailing address
9925 PERIMETER STATION DR, CHARLOTTE, NC 28216-3339
(704) 563-2922
(704) 900-6167
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5473
NC
Other
Enumeration date
12/30/2014
Last updated
12/30/2014
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