Healthcare Provider Details

I. General information

NPI: 1356232599
Provider Name (Legal Business Name): AUBREY LAYNE DAY PA-S
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/15/2025
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

505 GORDON AVE
THOMASVILLE GA
31792-6645
US

IV. Provider business mailing address

6425 NW LOVETT RD
GREENVILLE FL
32331-4769
US

V. Phone/Fax

Practice location:
  • Phone: 229-551-8600
  • Fax:
Mailing address:
  • Phone: 850-464-0384
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number1242749
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: