Provider Demographics
NPI:1730405986
Name:ASHLAND CLINIC INC
Entity type:Organization
Organization Name:ASHLAND CLINIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:LEMUEL
Authorized Official - Last Name:BEALE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:256-354-3222
Mailing Address - Street 1:83430 HIGHWAY 9
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:AL
Mailing Address - Zip Code:36251-6589
Mailing Address - Country:US
Mailing Address - Phone:256-354-3222
Mailing Address - Fax:256-354-2109
Practice Address - Street 1:83430 HIGHWAY 9
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:AL
Practice Address - Zip Code:36251-6589
Practice Address - Country:US
Practice Address - Phone:256-354-3222
Practice Address - Fax:256-354-2109
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-13
Last Update Date:2010-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty