Healthcare Provider Details

I. General information

NPI: 1922352277
Provider Name (Legal Business Name): QUESTA MARIE TINGLER PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: QUESTA SMITH SKELTON

II. Dates (important events)

Enumeration Date: 11/07/2012
Last Update Date: 07/14/2025
Certification Date: 07/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6574 SHELLMAN BLUFF RD NE
TOWNSEND GA
31331-4676
US

IV. Provider business mailing address

6574 SHELLMAN BLUFF RD NE
TOWNSEND GA
31331-4676
US

V. Phone/Fax

Practice location:
  • Phone: 912-832-4666
  • Fax:
Mailing address:
  • Phone: 912-832-4666
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number6660
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number006660
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: