Provider Demographics
NPI:1922352277
Name:TINGLER, QUESTA MARIE (PA-C)
Entity Type:Individual
Prefix:
First Name:QUESTA
Middle Name:MARIE
Last Name:TINGLER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:QUESTA
Other - Middle Name:SMITH
Other - Last Name:SKELTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1111 GLYNCO PKWY
Mailing Address - Street 2:BLD 1 STE 10
Mailing Address - City:BRUNSWICK
Mailing Address - State:GA
Mailing Address - Zip Code:31525-7921
Mailing Address - Country:US
Mailing Address - Phone:912-264-9111
Mailing Address - Fax:912-262-6909
Practice Address - Street 1:1111 GLYNCO PKWY
Practice Address - Street 2:BLD 1 STE 10
Practice Address - City:BRUNSWICK
Practice Address - State:GA
Practice Address - Zip Code:31525-7921
Practice Address - Country:US
Practice Address - Phone:912-264-9111
Practice Address - Fax:912-262-6909
Is Sole Proprietor?:No
Enumeration Date:2012-11-07
Last Update Date:2021-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA006660363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant