KENNETH DALE AUTRY

GRIFFIN, GA
NPI1083351464
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: GA  RN162470)
Enumeration Date2022-05-17
Last Update Date2022-05-17
Business Address
Mr. KENNETH DALE AUTRY FNP
726 S 8TH ST
GRIFFIN, GA 30224-4827
Phone number: 770-228-2273
Mailing Address
Mr. KENNETH DALE AUTRY FNP
83 MOORE RD
GRIFFIN, GA 30223-5526
Phone number:
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