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Individual

MRS. ANTONIA DIXON AUTRY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1350 WALTON WAY, AUGUSTA, GA 30901-2612
(706) 774-8841
Mailing address
3215 BEL RIDGE RD, AUGUSTA, GA 30909-9635
(706) 868-0734

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN049791
GA

Other

Enumeration date
04/26/2012
Last updated
04/26/2012
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