# TONYA PEPPER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1083626493
- **Gender:** F
- **Credential:** P.A.-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | PA04195 | TX | Yes |

## Other

- **Enumeration date:** 08/13/2006
- **Last updated:** 10/08/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 11997 | GEORGIA MEDICAL BOARD | GA |
| 01 | — | 8N7622 | BCBS | TX |