Individual
NIA ASHLEY AUGUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1860 ATKINSON RD STE 101, LAWRENCEVILLE, GA 30043-5066
(706) 948-2773
Mailing address
909 REDSTONE RD, DACULA, GA 30019-7416
(678) 200-6031
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT007753
GA
Other
Enumeration date
06/06/2021
Last updated
06/06/2021
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