Basic Information
Provider Information
NPI: 1407894462
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ASHFORD
FirstName: ROWELL
MiddleName: S
NamePrefix:  
NameSuffix: II
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 830605
Address2:  
City: BIRMINGHAM
State: AL
PostalCode: 352830605
CountryCode: US
TelephoneNumber: 2057155943
FaxNumber: 2057155932
Practice Location
Address1: 1925 AVENUE E
Address2:  
City: ENSLEY
State: AL
PostalCode: 352181619
CountryCode: US
TelephoneNumber: 2057835164
FaxNumber: 2057835167
Other Information
ProviderEnumerationDate: 06/03/2006
LastUpdateDate: 09/20/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207V00000X21275ALY Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 

No ID Information.


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