Provider Demographics
NPI:1497195903
Name:PINCKNEY, ASHEKIA RONIQUE (MD)
Entity Type:Individual
Prefix:
First Name:ASHEKIA
Middle Name:RONIQUE
Last Name:PINCKNEY
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 1:1708 OAK ST
Mailing Address - Street 2:
Mailing Address - City:CONWAY
Mailing Address - State:SC
Mailing Address - Zip Code:29526-3086
Mailing Address - Country:US
Mailing Address - Phone:843-248-4700
Mailing Address - Fax:877-322-0181
Practice Address - Street 1:1608 MAIN ST
Practice Address - Street 2:
Practice Address - City:CONWAY
Practice Address - State:SC
Practice Address - Zip Code:29526-3572
Practice Address - Country:US
Practice Address - Phone:843-248-4700
Practice Address - Fax:877-322-0181
Is Sole Proprietor?:No
Enumeration Date:2013-06-28
Last Update Date:2022-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN55907207V00000X
SC87143207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology