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Individual

THOMAS LOUIS ASHLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
101 E WOOD ST, SPARTANBURG, SC 29303-3040
(864) 560-1576
(864) 560-1590
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
18103
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
020042141
RAILROAD MEDICARE
05
7905997
NC
01
S396821
CIGNA
05
T18996
SC
Enumeration date
07/26/2005
Last updated
11/18/2020
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