Individual
MRS. TONYA SANCHEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
10692 MEDLOCK BRIDGE RD, JOHNS CREEK, GA 30097-1890
(404) 446-2496
(404) 446-2497
Mailing address
10692 MEDLOCK BRIDGE RD, JOHNS CREEK, GA 30097-1890
(404) 446-2496
(404) 446-2497
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
005069
GA
363AS0400X
Surgical Physician Assistant
005069
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005069
STATE LICENSE
GA
05
—
326919821A
—
GA
01
—
400373
WELLCARE HEALTHCARE
GA
Enumeration date
10/10/2007
Last updated
10/28/2025
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