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Jack Foster Ditty JR., MD
MOHS-Micrographic Surgery Physician in Ashland, Kentucky
NPI 1740315589

Jack Foster Ditty JR. is a MOHS-Micrographic Surgery Physician based in Ashland, KY and is specialized in MOHS-Micrographic Surgery. Jack Foster Ditty JR. practices in Ashland, KY and has the professional credentials of MD. The NPI Number for Jack Foster Ditty JR. is 1740315589 and holds a License No. 20687 (Kentucky).

The current practice location address for Jack Foster Ditty JR. is 100 Saint Christopher Dr, Ashland, KY and can be reached out via phone at 606-836-3111 and via fax at 606-833-5660.

Location: 100 Saint Christopher Dr, Ashland, KY, 41101-7016
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740315589
Provider Name
Jack Foster Ditty JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
100 Saint Christopher Dr, Ashland, KY, 41101-7016
Phone Number
606-836-3111
Fax Number
606-833-5660
Provider Enumeration Date
02/22/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
611053554 01 KY TAX ID
64206873 05 KY
024 1170 05 OH
000000048343 01 KY ANTHEM PROVIDER #
20687 01 KY MEDICAL LICENSE
institution
Provider Business Practice Location Address Details
Address
100 Saint Christopher Dr
City
Ashland
State
Kentucky
Zip
41101-7016
Phone Number
606-836-3111
Fax Number
606-833-5660
person
Provider Business Mailing Address Details
Address
100 Saint Christopher Dr
City
Ashland
State
Kentucky
Zip
41101-7016
Phone Number
606-836-3111
Fax Number
606-833-5660
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Dermatology
Speciality
MOHS-Micrographic Surgery
Taxonomy
207ND0101X
License No.
20687 (Kentucky)
Definition
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.
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