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1073054813
REGINA CLARK CANTY
AUGUSTA, GA
NPI
1073054813
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: GA RN101517)
Enumeration Date
2017-03-13
Last Update Date
2018-11-02
Business Address
Mrs. REGINA CLARK CANTY NP
1120 15TH ST
AUGUSTA, GA 30912-5887
Phone number: 706-721-8623
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Mailing Address
Mrs. REGINA CLARK CANTY NP
1120 15TH ST # BI-1056
AUGUSTA, GA 30912-0004
Phone number: 706-721-3813
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