Individual
ASHLEY B TOLLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C.
Contact information
Practice address
4940 EASTERN AVE, BALTIMORE, MD 21224-2735
(410) 550-0350
(410) 550-0178
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(410) 933-6423
(410) 500-4266
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-10529
NC
363A00000X
Physician Assistant
0110007406
VA
363A00000X
Physician Assistant
PA031239
DC
363AM0700X
Medical Physician Assistant
Primary
C05839
MD
Other
Enumeration date
08/07/2015
Last updated
05/14/2023
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