Individual
TONYA PEPPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
644 THORNTON RD, LITHIA SPRINGS, GA 30122
(678) 915-9887
Mailing address
1879 EVENINGSIDE WAY NW, KENNESAW, GA 30152-4794
(903) 806-6536
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA04195
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11997
GEORGIA MEDICAL BOARD
GA
01
—
8N7622
BCBS
TX
Enumeration date
08/13/2006
Last updated
10/08/2025
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