Individual
RONALD LISLE ASHTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
877 W FARIS RD, GREENVILLE, SC 29605-4289
(864) 455-7800
(864) 455-9037
Mailing address
1 INDEPENDENCE PT, SUITE 212, GREENVILLE, SC 29615-4545
(864) 797-6306
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
7260
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
072600
—
SC
01
—
080089683
RR MEDICARE
SC
01
—
4241021
AETNA
SC
01
—
57-1004971011
BCBS OF SC
SC
Enumeration date
06/06/2006
Last updated
01/15/2015
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