Individual
ASHLEY L MICHAELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1236 GUILFORD COLLEGE RD, SUITE 117, JAMESTOWN, NC 27282-9810
(336) 856-0801
(336) 856-2804
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(336) 856-0801
(336) 856-2804
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-01966
NC
363AM0700X
Medical Physician Assistant
0010-01966
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8101772
—
NC
Enumeration date
08/28/2009
Last updated
10/25/2020
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