Provider Demographics
NPI:1962690404
Name:SANCHEZ, TONYA (PA-C)
Entity type:Individual
Prefix:MRS
First Name:TONYA
Middle Name:
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10692 MEDLOCK BRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:JOHNS CREEK
Mailing Address - State:GA
Mailing Address - Zip Code:30097-1890
Mailing Address - Country:US
Mailing Address - Phone:404-446-2496
Mailing Address - Fax:404-446-2497
Practice Address - Street 1:10692 MEDLOCK BRIDGE RD
Practice Address - Street 2:
Practice Address - City:JOHNS CREEK
Practice Address - State:GA
Practice Address - Zip Code:30097-1890
Practice Address - Country:US
Practice Address - Phone:404-446-2496
Practice Address - Fax:404-446-2497
Is Sole Proprietor?:No
Enumeration Date:2007-10-10
Last Update Date:2025-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA005069363AM0700X, 363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
No363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA326919821AMedicaid
GA400373OtherWELLCARE HEALTHCARE
GA005069OtherSTATE LICENSE
GA400373OtherWELLCARE HEALTHCARE