Provider Demographics
NPI:1427553841
Name:TODD, ASHTON W (MD)
Entity Type:Individual
Prefix:
First Name:ASHTON
Middle Name:W
Last Name:TODD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:211 WEST DR UNIT 7
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36608-3093
Mailing Address - Country:US
Mailing Address - Phone:334-450-1041
Mailing Address - Fax:
Practice Address - Street 1:6321 PICCADILLY SQUARE DR
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36609-5306
Practice Address - Country:US
Practice Address - Phone:251-342-8900
Practice Address - Fax:251-342-2333
Is Sole Proprietor?:No
Enumeration Date:2018-03-27
Last Update Date:2021-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL39003208000000X
AL390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No208000000XAllopathic & Osteopathic PhysiciansPediatrics