Provider Demographics
NPI:1699126854
Name:CARNES, MARY ASHLEY (DC)
Entity type:Individual
Prefix:
First Name:MARY
Middle Name:ASHLEY
Last Name:CARNES
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2323 W MAIN ST
Mailing Address - Street 2:STE 109
Mailing Address - City:DOTHAN
Mailing Address - State:AL
Mailing Address - Zip Code:36301-1292
Mailing Address - Country:US
Mailing Address - Phone:334-794-2225
Mailing Address - Fax:334-794-0576
Practice Address - Street 1:2323 W MAIN ST
Practice Address - Street 2:STE 109
Practice Address - City:DOTHAN
Practice Address - State:AL
Practice Address - Zip Code:36301-1292
Practice Address - Country:US
Practice Address - Phone:334-794-2225
Practice Address - Fax:334-794-0576
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-28
Last Update Date:2016-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2485111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor