Provider Demographics
NPI:1053609198
Name:DAVIS, ASHLEY CHARLOTTE (MS)
Entity type:Individual
Prefix:MS
First Name:ASHLEY
Middle Name:CHARLOTTE
Last Name:DAVIS
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1200 NORTH PHILLIPS AVENUE
Mailing Address - Street 2:5100
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73104-4600
Mailing Address - Country:US
Mailing Address - Phone:405-271-8001
Mailing Address - Fax:405-271-8697
Practice Address - Street 1:1200 N PHILLIPS AVE
Practice Address - Street 2:5100
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73104-4600
Practice Address - Country:US
Practice Address - Phone:405-271-8001
Practice Address - Fax:405-271-8697
Is Sole Proprietor?:No
Enumeration Date:2011-07-11
Last Update Date:2011-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS