Provider Demographics
NPI:1881345395
Name:SMITH, ASHLEY C (CPT CCMA)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:C
Last Name:SMITH
Suffix:
Gender:F
Credentials:CPT CCMA
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:310 DOUGLAS ST
Mailing Address - Street 2:
Mailing Address - City:BOAZ
Mailing Address - State:AL
Mailing Address - Zip Code:35957-2016
Mailing Address - Country:US
Mailing Address - Phone:256-506-7289
Mailing Address - Fax:
Practice Address - Street 1:201 ELIZABETH ST # B2S6
Practice Address - Street 2:
Practice Address - City:BOAZ
Practice Address - State:AL
Practice Address - Zip Code:35957-2133
Practice Address - Country:US
Practice Address - Phone:205-359-2946
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-16
Last Update Date:2024-05-30
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy