Provider Demographics
NPI:1801112610
Name:BILLS, ASHLEY G (DC)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:G
Last Name:BILLS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3711 SEAWRIGHT RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29210-4851
Mailing Address - Country:US
Mailing Address - Phone:803-331-3836
Mailing Address - Fax:
Practice Address - Street 1:3711 SEAWRIGHT RD
Practice Address - Street 2:SUITE B
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29210-4851
Practice Address - Country:US
Practice Address - Phone:803-331-3836
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-19
Last Update Date:2015-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3559111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor