Provider Demographics
NPI:1952445298
Name:GOODING, ASHLEY DUKE (MD)
Entity Type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:DUKE
Last Name:GOODING
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 1:408 1ST ST N STE 200
Mailing Address - Street 2:
Mailing Address - City:ALABASTER
Mailing Address - State:AL
Mailing Address - Zip Code:35007-9270
Mailing Address - Country:US
Mailing Address - Phone:205-664-9995
Mailing Address - Fax:205-621-9327
Practice Address - Street 1:408 1ST ST N STE 200
Practice Address - Street 2:
Practice Address - City:ALABASTER
Practice Address - State:AL
Practice Address - Zip Code:35007-9270
Practice Address - Country:US
Practice Address - Phone:205-664-9995
Practice Address - Fax:205-621-9327
Is Sole Proprietor?:No
Enumeration Date:2007-02-19
Last Update Date:2020-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL26565207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51001543OtherBC BS OF AL
AL009932214Medicaid
AL009932214Medicaid
AL51001543OtherBC BS OF AL