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Individual

JOHN ERIC ASHTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
7182 WOODROW ST STE 200, IRMO, SC 29063-2958
(803) 749-1111
(803) 749-0050
Mailing address
7182 WOODROW ST STE 200, IRMO, SC 29063-2958
(803) 749-1111
(803) 749-0050

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
647PA
SC
363AM0700X
Medical Physician Assistant
A647
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1657PA
SC
01
A647
MEDICAL LICENSE
SC
01
PA647
PA-C LICENSE
SC
Enumeration date
06/04/2007
Last updated
07/18/2022
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