Individual
MRS. ASHLEY JANAE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
811 13TH ST STE 11, UNIVERSITY PROFESSIONAL BUILDING 3, AUGUSTA, GA 30901-2771
(706) 823-6177
Mailing address
811 13TH ST STE 11, UNIVERSITY PROFESSIONAL BUILDING 3, AUGUSTA, GA 30901-2771
(706) 823-6177
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
005676
GA
Other
Enumeration date
10/04/2009
Last updated
07/23/2019
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