Individual
MRS. ASHLEY LEIGH RANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1500 ROSS CLARK CIR, DOTHAN, AL 36301-4754
(334) 793-2663
(334) 836-2248
Mailing address
PO BOX 729, DOTHAN, AL 36302-0729
(334) 793-2663
(334) 836-2248
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
364
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003140907A
—
GA
05
—
003140909A
—
GA
05
—
124238
—
AL
05
—
125083
—
AL
01
—
511-10951
BCBS OF AL - RCC
AL
01
—
511-10973
BCBS OF AL - HEALTHWEST
AL
Enumeration date
01/30/2007
Last updated
11/03/2020
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