Individual
DR. BRYAN ELLIS ASHLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
169 ASHLEY AVE, ROOM 202 MAIN HOSPITAL MSC 333, CHARLESTON, SC 29425-8905
(843) 792-1020
(843) 792-5265
Mailing address
169 ASHLEY AVE, ROOM 202 MAIN HOSPITAL MSC 333, CHARLESTON, SC 29425-8905
(843) 792-1020
(843) 792-5265
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
LL36964
SC
2085R0202X
Diagnostic Radiology Physician
Primary
MD82196
SC
Other
Enumeration date
06/11/2014
Last updated
01/22/2021
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