Provider Demographics
NPI:1942056486
Name:PATTON, ASHLEIGH M (SAS, CPSS)
Entity type:Individual
Prefix:
First Name:ASHLEIGH
Middle Name:M
Last Name:PATTON
Suffix:
Gender:F
Credentials:SAS, CPSS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 14972
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29610-4972
Mailing Address - Country:US
Mailing Address - Phone:803-427-1526
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 14972
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29610-4972
Practice Address - Country:US
Practice Address - Phone:803-427-1526
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-25
Last Update Date:2024-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCCPSS-2366175T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist