Ashley Renee Mata, PA
Ashley Renee Mata, PA is a Physician Assistant in Ruby, South Carolina. Qualified in 2023, 3 years ago. Practices with Sandhills Medical Foundation, Inc, a 26-clinician group and accepts Medicare assignment. Licensed in South Carolina.
- Years since qualifying
- 3
- Licensed in
- SC
- In the registry since
- 2023
What do these letters mean?
- PA — Physician Assistant
- A licensed clinician who examines, diagnoses and treats under a physician's supervision.
Practice location Address checks out
290 Market StRuby, SC 29741-2900
Phone: (843) 634-6044
Fax: (843) 634-6600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Physician Assistant (primary) | Taxonomy 363AM0700X · Licence 4940 (SC) |
|---|
Record details
| NPI number | 1518647197 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA |
| Sole proprietor | No |
| NPI enumerated | July 19, 2023 |
| Last updated in NPPES | July 19, 2023 |
| Certification date | July 19, 2023 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2023 (3 years in practice) |
| Group practice | Sandhills Medical Foundation, Inc. — 26 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |