Individual
MRS. ASHLEY A BETHEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPC
Contact information
Practice address
4422 SPINEL DR, FAYETTEVILLE, NC 28311-6862
(910) 709-3810
Mailing address
4422 SPINEL DR, FAYETTEVILLE, NC 28311-6862
(910) 709-3810
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
50385637
—
NC
Enumeration date
03/05/2020
Last updated
03/05/2020
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