Provider Demographics
NPI:1174835201
Name:MCCLOUD, ASHLEY LEEANN (MD)
Entity Type:Individual
Prefix:MS
First Name:ASHLEY
Middle Name:LEEANN
Last Name:MCCLOUD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1041 BALCH RD STE 250
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:AL
Mailing Address - Zip Code:35758-8822
Mailing Address - Country:US
Mailing Address - Phone:256-704-2235
Mailing Address - Fax:256-704-2235
Practice Address - Street 1:1041 BALCH RD STE 250
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:AL
Practice Address - Zip Code:35758-8822
Practice Address - Country:US
Practice Address - Phone:256-704-2235
Practice Address - Fax:256-704-2235
Is Sole Proprietor?:No
Enumeration Date:2010-07-06
Last Update Date:2023-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MST-2328207V00000X
AL33312207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology