Provider Demographics
NPI:1174943203
Name:ASHBY, MEAGHEN ELIZABETH RENEE (MD)
Entity type:Individual
Prefix:
First Name:MEAGHEN
Middle Name:ELIZABETH RENEE
Last Name:ASHBY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:807 RUTLEDGE AVE
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29403-3717
Mailing Address - Country:US
Mailing Address - Phone:843-640-8981
Mailing Address - Fax:
Practice Address - Street 1:807 RUTLEDGE AVE
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29403-3717
Practice Address - Country:US
Practice Address - Phone:843-640-8981
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-04-16
Last Update Date:2014-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program