ASHLEY S GANTT

AUSTELL, GA
NPI1417074147
Former NameASHLEY SYREECE WADDELL
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: GA  004889)
Enumeration Date2007-03-26
Last Update Date2018-06-01
Business Address
ASHLEY S GANTT PA
3820 MEDICAL PARK DR
AUSTELL, GA 30106
Phone number: 770-948-6041
Mailing Address
ASHLEY S GANTT PA
3820 MEDICAL PARK DR
AUSTELL, GA 30106-1110
Phone number: 770-948-6041