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Individual

MRS. AMY ROUNDTREE ASHTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
506 N ACADIA RD, THIBODAUX, LA 70301-4862
(985) 448-1216
(985) 446-8765
Mailing address
PO BOX 5478, THIBODAUX, LA 70302-5478
(985) 448-1216
(985) 446-8765

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD200847
LA
207VG0400X
Gynecology Physician
200847
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1071986
LA
Enumeration date
05/23/2007
Last updated
04/10/2013
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