SHANITA SOUTHERLAND AUSBORN

MACON, GA
NPI1205229531
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: GA  RN203226)
Enumeration Date2015-03-11
Last Update Date2022-02-15
Business Address
SHANITA SOUTHERLAND AUSBORN APRN
770 WALNUT ST
MACON, GA 31201-7307
Phone number: 478-787-4266
Mailing Address
SHANITA SOUTHERLAND AUSBORN APRN
770 WALNUT ST
MACON, GA 31201-7307
Phone number: 478-787-4266
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