Individual
CLINT J ANTHONY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
209 N CUTHBERT ST, COLQUITT, GA 39837-3518
(229) 758-4283
Mailing address
427 W 3RD AVE, ALBANY, GA 31701-1975
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN294421
GA
Other
Enumeration date
10/11/2023
Last updated
04/04/2024
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