Provider Demographics
NPI:1487670683
Name:MARLOWE, ASHLEY LANG (MD)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:LANG
Last Name:MARLOWE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:
Other - Last Name:LANKFORD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:203 EARNHART DR STE B
Mailing Address - Street 2:
Mailing Address - City:EDENTON
Mailing Address - State:NC
Mailing Address - Zip Code:27932-8401
Mailing Address - Country:US
Mailing Address - Phone:252-482-5868
Mailing Address - Fax:252-482-7953
Practice Address - Street 1:203 EARNHART DR STE B
Practice Address - Street 2:
Practice Address - City:EDENTON
Practice Address - State:NC
Practice Address - Zip Code:27932-8401
Practice Address - Country:US
Practice Address - Phone:252-482-5868
Practice Address - Fax:252-482-7953
Is Sole Proprietor?:No
Enumeration Date:2006-07-14
Last Update Date:2023-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY37328208600000X
FLME114249208600000X
IN01055865A208600000X
NC2023-01910208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100307810Medicaid
IN200375080AMedicaid
NC2023-01910OtherNC STATE LICENSE
NC1487670683Medicaid
FL007373800Medicaid
KY7100307810Medicaid
IN200375080AMedicaid