Provider Demographics
NPI:1366882722
Name:LOCKLEAR-BATTON, ASHLEY D (DO)
Entity type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:D
Last Name:LOCKLEAR-BATTON
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3239
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29502-3239
Mailing Address - Country:US
Mailing Address - Phone:843-777-7098
Mailing Address - Fax:843-777-7102
Practice Address - Street 1:907 STARTEK DR
Practice Address - Street 2:
Practice Address - City:MYRTLE BEACH
Practice Address - State:SC
Practice Address - Zip Code:29579-4471
Practice Address - Country:US
Practice Address - Phone:843-646-8001
Practice Address - Fax:843-646-8002
Is Sole Proprietor?:No
Enumeration Date:2013-07-01
Last Update Date:2017-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC1704207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine