Individual
SAMANTHA RYAN ASHLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
625 19TH ST S, BIRMINGHAM, AL 35233-1900
(256) 536-5511
Mailing address
PO BOX 1850, CLANTON, AL 35046-1850
(205) 755-5700
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ACSC.39082
AL
Other
Enumeration date
04/05/2018
Last updated
06/14/2021
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