NPI 1023354065

Ashley Marie McGuire-Tanksley, PAC

Practitioner Physician Assistant Conyers, GA

Practice location

Address: 1412 Milstead Ave NE, Conyers, GA 30012-3877
Phone: (770) 922-4024
Mailing address: 1301 Sigman Rd NE Suite 190, Conyers, GA 30012-3812

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 6697 (GA)

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Registry record

NPI: 1023354065
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Dec 2012
Record last updated: 27 Feb 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.