Individual
PRENTISS RACHEL AUTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2402 OSLER CT, ALBANY, GA 31707-0205
(229) 438-3300
Mailing address
2402 OSLER CT, ALBANY, GA 31707-0205
(229) 438-3300
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
13426
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2021
Last updated
09/11/2024
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