Individual
ASHLEY MARIE MCGUIRE-TANKSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1412 MILSTEAD AVE NE, CONYERS, GA 30012-3877
(770) 922-4024
Mailing address
1301 SIGMAN RD NE, SUITE 190, CONYERS, GA 30012-3812
(770) 922-4024
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6697
GA
Other
Enumeration date
12/19/2012
Last updated
02/27/2019
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