Individual
LAURIE J GAUTNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.R.N.P.
Contact information
Practice address
2225 US HIGHWAY 41 N, TIFTON, GA 31794-2749
(229) 391-4100
Mailing address
907 18TH ST E STE 400, TIFTON, GA 31794-3684
(229) 353-3422
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP213264
GA
363LA2200X
Adult Health Nurse Practitioner
1-041497
AL
Other
Enumeration date
09/24/2007
Last updated
10/11/2025
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