John Stephen Autry
NPI #1619002003 in Blackshear, Georgia
Provider Information
- NPI Number
- 1619002003
- Entity Type
- Individual
- Name
- John Stephen Autry
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Marriage & Family Therapist
- Enumeration Date
- Feb 23, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 901 COLLEGE AVE
- City
- Blackshear
- State
- Georgia
- ZIP Code
- 31516
- Phone
- (912) 449-2714
Specialties & Taxonomy Codes
| Specialty |
|---|
| Marriage & Family Therapist |
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