Ashley S Gantt, PA

NPI #1417074147 in Austell, Georgia

Provider Information

NPI Number: 1417074147
Entity Type: Individual
Name: Ashley S Gantt, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Mar 26, 2007
Last Updated: Jun 1, 2018

Practice Location

Address: 3820 MEDICAL PARK DR
City: Austell
State: Georgia
ZIP Code: 30106
Phone: (770) 948-6041

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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