Individual
MR. CANTIUS JOHN AUDAIN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CEO
Contact information
Practice address
4066 S SHELBY LN, DOUGLASVILLE, GA 30135-4142
(973) 280-6721
Mailing address
4066 S SHELBY LN, DOUGLASVILLE, GA 30135-4142
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
05/08/2018
Last updated
05/08/2018
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