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Contact Information

ASHLEY S GANTT, PA
3820 MEDICAL PARK DR
AUSTELL, GA30106
 Phone: 770-948-6041
 Fax: 770-819-2987
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for ASHLEY S GANTT · (Female)

NPI # 1417074147
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 03/26/2007
Last updated 06/01/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 004889
Hospital affiliation(s)
  • DEKALB MEDICAL CENTER - (Acute Care)
    2701 N DECATUR ROAD
    DECATUR, GA 30033
  • EMORY UNIVERSITY HOSPITAL - (Acute Care)
    1364 CLIFTON ROAD, NE
    ATLANTA, GA 30322
  • EMORY UNIVERSITY HOSPITAL MIDTOWN - (Acute Care)
    550 PEACHTREE ST NE
    ATLANTA, GA 30308
  • SAINT JOSEPH'S HOSPITAL OF ATLANTA INC - (Acute Care)
    5665 PEACHTREE DUNWOODY ROAD
    ATLANTA, GA 30342
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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