Individual
DR. ROBB ASHLEY MOTHERSHED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
3057 TRENWEST DR, WINSTON-SALEM, NC 27103-3220
(336) 765-0710
(336) 765-0821
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(336) 765-0710
(336) 765-0821
Taxonomy
Speciality
Code
Description
License number
State
213ES0000X
Sports Medicine Podiatrist
373
NC
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
373
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
373
LICENSE
NC
05
—
890803X
—
NC
01
—
P00368266
RR MEDICARE
NC
Enumeration date
05/02/2006
Last updated
10/25/2020
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