REGINA CLARK CANTY

AUGUSTA, GA
NPI1073054813
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: GA  RN101517)
Enumeration Date2017-03-13
Last Update Date2018-11-02
Business Address
Mrs. REGINA CLARK CANTY NP
1120 15TH ST
AUGUSTA, GA 30912-5887
Phone number: 706-721-8623
Mailing Address
Mrs. REGINA CLARK CANTY NP
1120 15TH ST # BI-1056
AUGUSTA, GA 30912-0004
Phone number: 706-721-3813