Individual
ASHLEY GRACE THOMAS RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2600 CENTURY PKWY NE, ATLANTA, GA 30345-3125
(770) 792-7922
Mailing address
1401 W PACES FERRY RD NW APT 5405, ATLANTA, GA 30327-2460
(770) 378-1525
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
11/04/2024
Last updated
11/20/2024
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