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Organization

AUTUMN LIFECARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
REBECCA HUNTON M.D. (OWNER)
(321) 693-0964
Entity
Organization

Contact information

Practice address
1210 BRIARMEADOW DR, COLUMBUS, OH 43235-1616
(321) 693-0964
Mailing address
PO BOX 372190, SATELLITE BEACH, FL 32937-0190

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35-81962
OH

Other

Enumeration date
06/27/2006
Last updated
08/22/2020
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