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Individual

AUTUMN EAU CLAIRE NEWBERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
103 GOSSMAN RD, SOUTHERN PINES, NC 28387-2225
(800) 226-8874
Mailing address
3800 S OCEAN DR STE 209, HOLLYWOOD, FL 33019-2915
(800) 226-8874

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5022152
NC

Other

Enumeration date
02/19/2024
Last updated
05/30/2025
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