Provider Demographics
NPI:1962593053
Name:ASHE, WALTER DEE JR (MD)
Entity type:Individual
Prefix:DR
First Name:WALTER
Middle Name:DEE
Last Name:ASHE
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 15004
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37901
Mailing Address - Country:US
Mailing Address - Phone:865-522-9730
Mailing Address - Fax:865-637-2520
Practice Address - Street 1:221 N MAIN ST
Practice Address - Street 2:
Practice Address - City:GREENEVILLE
Practice Address - State:TN
Practice Address - Zip Code:37745-3815
Practice Address - Country:US
Practice Address - Phone:423-787-6050
Practice Address - Fax:423-787-6054
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2014-01-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TNMD0000007679208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN0101562OtherBCBS
TN3050494Medicaid
TN3050494Medicaid
TN890542Medicare ID - Type Unspecified