License holder summary

STANLEY, TYLER WAYNE is a Medical - Physician Assistant licensed to practice in Georgia. The address on file for STANLEY, TYLER WAYNE is 360 PHARR ROAD, NE, APT. 112, Atlanta 30305. This doctor license is not current. The license was granted 09/03/2004 and expired on 12/31/2006.

Georgia

Composite Medical Board

STANLEY, TYLER WAYNE
Medical - Physician Assistant
License number
004363
Date granted
09/03/2004
Date expires
12/31/2006
Class
Medical - Physician Assistant
Status
Lapsed
Address
360 PHARR ROAD, NE, APT. 112
georgiadoctors.net
ID 38101746
LAST UPDATED 2026-05-11 09:34:41 UTC

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