SHANITA SOUTHERLAND AUSBORN APRN
Individual Provider (NPI-1)
Active
Nurse Practitioner, Family
Provider Information
- NPI Number
1205229531- Provider Type
- Individual Provider (NPI-1)
- Credentials
- APRN
- Status
- Active
Contact & Location
- Address
- 770 WALNUT ST, MACON, GA, 312017307
- Phone
- (478) 787-4266
- Fax
- (478) 787-4199
Specialties & Taxonomies
Nurse Practitioner, Family
Primary License: GA #RN203226