Individual
ASHLEY ANTONY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7200 CREEDMOOR RD STE 104, RALEIGH, NC 27613-1711
(919) 518-0999
Mailing address
1450 PROFESSIONAL PARK DR STE 150, WINSTON SALEM, NC 27103-1307
(336) 724-2434
(336) 607-8061
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
2024-00309
NC
207ND0101X
MOHS-Micrographic Surgery Physician
2024-00309
NC
Other
Enumeration date
03/09/2012
Last updated
09/09/2024
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