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Individual

MRS. TONYA MICHELLE OGLETREE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.A.C.

Contact information

Practice address
165 N PARK TRL, SUITE 100, STOCKBRIDGE, GA 30281-6500
(770) 506-1800
(770) 506-4686
Mailing address
165 N PARK TRL, SUITE 100, STOCKBRIDGE, GA 30281-6500
(770) 506-1800
(770) 506-4686

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
004599
GA

Other

Enumeration date
09/30/2005
Last updated
02/27/2015
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