Individual
ASHLEY GRACE LESLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
5 STEVENS ST STE 100, GREENVILLE, SC 29605-4528
(864) 250-6487
(864) 250-6475
Mailing address
601 HALTON RD, GREENVILLE, SC 29607-3403
(864) 458-7956
(864) 458-8390
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
A102813
CA
207W00000X
Ophthalmology Physician
D0073579
MD
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
Primary
51973
SC
2083A0100X
Aerospace Medicine Physician
01058160A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
519737
—
SC
Enumeration date
12/19/2005
Last updated
08/27/2024
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