Individual
ASHLIE TANEEL MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
601 CLEVELAND AVE NW, CANTON, OH 44702-1836
(330) 453-8252
(330) 452-4655
Mailing address
625 CLEVELAND AVE NW, CANTON, OH 44702-1805
(330) 455-0374
(330) 453-6716
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
35.146093
OH
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
35.146093
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0496281
—
OH
01
—
35.146093
OH LICENSE
OH
01
—
63736
TN LICENSE
TN
Enumeration date
05/21/2018
Last updated
05/12/2026
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