Provider First Line Business Practice Location Address:
1097 FLEDDERJOHN RD
Provider Second Line Business Practice Location Address:
ASHTON MEDICAL ASSOCIATES, INC.
Provider Business Practice Location Address City Name:
CHARLESTON
Provider Business Practice Location Address State Name:
WV
Provider Business Practice Location Address Postal Code:
25314-4208
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
304-345-3627
Provider Business Practice Location Address Fax Number:
304-346-4440
Provider Enumeration Date:
09/06/2013