Provider Demographics
NPI:1063228708
Name:ASHEWELL MEDICAL GROUP, P.A.
Entity type:Organization
Organization Name:ASHEWELL MEDICAL GROUP, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CARLY
Authorized Official - Middle Name:B
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:828-477-4077
Mailing Address - Street 1:41 OAKLAND RD STE 300
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-4821
Mailing Address - Country:US
Mailing Address - Phone:828-477-4077
Mailing Address - Fax:828-774-5952
Practice Address - Street 1:41 OAKLAND RD STE 300
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-4821
Practice Address - Country:US
Practice Address - Phone:828-477-4077
Practice Address - Fax:828-774-5952
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-07
Last Update Date:2024-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care