Provider Demographics
NPI:1003402157
Name:CARRAWAY, ASHLEY BETH (HIS)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:BETH
Last Name:CARRAWAY
Suffix:
Gender:F
Credentials:HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:131 PLANTATION RIDGE DR STE 307
Mailing Address - Street 2:
Mailing Address - City:MOORESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28117-9543
Mailing Address - Country:US
Mailing Address - Phone:980-233-1080
Mailing Address - Fax:
Practice Address - Street 1:131 PLANTATION RIDGE DR STE 307
Practice Address - Street 2:
Practice Address - City:MOORESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28117-9543
Practice Address - Country:US
Practice Address - Phone:980-233-1080
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-14
Last Update Date:2020-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1164A01237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty