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Contact Information

JON S ASHLEY, MD
1401 RIVER RD
GREENWOOD, MS38930-4030
 Phone: 662-459-2613
 Fax: 662-459-1159
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medical Services

207PE0004X 93 Physician/Emergency Medicine
 

Emergency Medical Technician, Basic

146N00000X
Indicates primary specialty

NPI Profile & details for JON S ASHLEY · (Male)

NPI Number 1104900968
Status Active
Credentials MD
Entity Individual
Enumeration date 10/25/2006
Last updated 02/23/2017 - About 9 years ago
Sole proprietor 1 Yes
Identifiers
  • MS License # 12084
  • MS Medicaid 000121529
  • MS Other P01713169 RAILROAD MEDICARE PTAN
Hospital affiliation(s)
  • UNIVERSITY OF MISSISSIPPI MEDICAL CENTER- GRENADA - (Acute Care)
    960 AVENT DRIVE
    GRENADA, MS 38901
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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