person
Ashley Renee Mata, PA
Medical Physician Assistant in Ruby, South Carolina
NPI 1518647197

Ashley Renee Mata is a Medical Physician Assistant based in Mc Bee, SC and is specialized in Medical. Ashley Renee Mata practices in Ruby, SC and has the professional credentials of PA. The NPI Number for Ashley Renee Mata is 1518647197 and holds a License No. 4940 (South Carolina).

The current practice location address for Ashley Renee Mata is 290 Market St, Ruby, SC and can be reached out via phone at 843-634-6044 and via fax at 843-634-6600.

Location: 290 Market St, Ruby, SC, 29101-0366
person
Provider Profile Details
NPI Number
1518647197
Provider Name
Ashley Renee Mata
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
290 Market St, Ruby, SC, 29101-0366
Phone Number
843-634-6044
Fax Number
843-634-6600
Provider Enumeration Date
07/19/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
290 Market St
City
State
Zip
29741-2900
Phone Number
843-634-6044
Fax Number
843-634-6600
person
Provider Business Mailing Address Details
Address
290 Market St
City
State
Zip
29741-2900
Phone Number
843-634-6044
Fax Number
843-634-6600
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
4940 (South Carolina)
Definition
Definition to come...
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