| Dr. Ty Ashley M.d. Llc | |
|
727 Cox Creek Pkwy Florence AL 35630-1001 | |
| (256) 764-9613 | |
| (256) 764-9138 |
| Full Name | Dr. Ty Ashley M.d. Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 727 Cox Creek Pkwy, Florence, Alabama |
| Authorized Official Name and Position | Timothy Dale Ashley (PHYSICIAN) |
| Authorized Official Contact | 2567649613 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Ty Ashley M.d. Llc 727 Cox Creek Pkwy Florence AL 35630-1001 Ph: (256) 764-9613 | Dr. Ty Ashley M.d. Llc 727 Cox Creek Pkwy Florence AL 35630-1001 Ph: (256) 764-9613 |
| NPI Number | 1972970358 |
|---|---|
| Provider Enumeration Date | 09/01/2015 |
| Last Update Date | 09/01/2015 |
| Medicare PECOS PAC ID | 6406165190 |
|---|---|
| Medicare Enrollment ID | O20151020001990 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972970358 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 34205 (Alabama) | Primary |
| Provider Name | Timothy Dale Ashley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043570617 PECOS PAC ID: 8325261944 Enrollment ID: I20151020002229 |
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