Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 50.005744RX | OH |
NPI | 1255801452 |
---|---|
Provider Name | Ashlee R Grow |
First Address | Wilmington, NC 28401-2822 |
Second Address | Jacksonville, NC 28546-9406 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/11/2018 |
Last Update Date | 01/02/2021 |