Individual
MRS. AUDREY D. JERNIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 PINEVIEW DR., WAYCROSS, GA 31501
(912) 285-2361
(912) 285-0571
Mailing address
301 PINEVIEW DR, WAYCROSS, GA 31501-5229
(912) 285-2361
(912) 285-0571
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT001243
GA
Other
Enumeration date
03/14/2007
Last updated
04/03/2013
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