Individual
ASHLEY D THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
5445 MERIDIAN MARK RD, STE 250, ATLANTA, GA 30342-4767
(404) 255-1933
Mailing address
5445 MERIDIAN MARK RD, STE 250, ATLANTA, GA 30342-4767
(404) 255-1933
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
004553
GA
363AS0400X
Surgical Physician Assistant
4553
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
721491758A
—
GA
Enumeration date
01/16/2006
Last updated
03/28/2012
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