Provider Demographics
NPI:1902486095
Name:MCCLANAHAN, ASHLEY COZART (MD)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:COZART
Last Name:MCCLANAHAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:CONE
Other - Last Name:COZART
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:208 N CEDAR ST
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205-5534
Mailing Address - Country:US
Mailing Address - Phone:813-892-4433
Mailing Address - Fax:
Practice Address - Street 1:4301 W MARKHAM ST
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-7199
Practice Address - Country:US
Practice Address - Phone:813-892-4433
Practice Address - Fax:615-873-8121
Is Sole Proprietor?:No
Enumeration Date:2021-04-12
Last Update Date:2024-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program