Individual
AUTUMN SUZANNE TRIPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 GREER ST, CORDELE, GA 31015-2056
(229) 207-4004
Mailing address
997 LOIS RD, PITTS, GA 31072-6442
(229) 938-0792
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/12/2024
Last updated
08/12/2024
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