Provider Demographics
NPI:1982088035
Name:LAYTON, ASHLEI ALIG (PAC)
Entity type:Individual
Prefix:
First Name:ASHLEI
Middle Name:ALIG
Last Name:LAYTON
Suffix:
Gender:
Credentials:PAC
Other - Prefix:
Other - First Name:ASHLEI
Other - Middle Name:
Other - Last Name:ALIG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PAC
Mailing Address - Street 1:2000 HOWARD FARM DR STE 200
Mailing Address - Street 2:
Mailing Address - City:CUMMING
Mailing Address - State:GA
Mailing Address - Zip Code:30041-6081
Mailing Address - Country:US
Mailing Address - Phone:770-292-6535
Mailing Address - Fax:770-292-6505
Practice Address - Street 1:2000 HOWARD FARM DR STE 200
Practice Address - Street 2:
Practice Address - City:CUMMING
Practice Address - State:GA
Practice Address - Zip Code:30041-6081
Practice Address - Country:US
Practice Address - Phone:770-292-6535
Practice Address - Fax:770-292-6505
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-17
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA7655363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant