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DR. ASHLEY BIRD HUMRICKHOUSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
809 82ND PKWY, MYRTLE BEACH, SC 29572-4607
(843) 692-4759
(843) 692-1122
Mailing address
809 82ND PKWY, MYRTLE BEACH, SC 29572-4607
(843) 496-1372

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
HUMRICKHOUSE-VS5GLU
NC
390200000X
Student in an Organized Health Care Education/Training Program
Primary
LL91377
SC

Other

Enumeration date
04/08/2021
Last updated
06/28/2024
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