Gantt, Ashley S

Gantt, Ashley S is an individual health care provider with primary practice located at 3820 Medical Park Dr , Austell GA 30106. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Gantt, Ashley S can be contacted via phone (770) 948-6041.

Contact Information

Primary practice address
3820 Medical Park Dr Austell GA 30106
Phone: (770) 948-6041
Fax: (770) 819-2987
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 004889 Georgia

Profile Details

NPI number 1417074147
LBN Legal business name Gantt, Ashley S
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2007
Last updated Jun 1st, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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