AUTUMN VENTURELLI

STATESBORO, GA
NPI1376208033
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: GA  11025)
Additional Taxonomies363A00000X Physician Assistant
Enumeration Date2021-11-07
Last Update Date2023-01-28
Business Address
AUTUMN VENTURELLI PA
19 COACH LEE HILL BLVD
STATESBORO, GA 30458-4700
Phone number: 912-662-6501
Mailing Address
AUTUMN VENTURELLI PA
19 COACH LEE HILL BLVD
STATESBORO, GA 30458-4700
Phone number: