Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 0101245865 | VA |
N | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 0101245865 | VA |
NPI | 1154539062 |
---|---|
Provider Name | Ashley W. Carroll |
First Address | Richmond, VA 23291-1734 |
Second Address | Richmond, VA 23219-1901 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/05/2007 |
Last Update Date | 13/11/2019 |