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AUSTIN D DARBYSHIRE FNP-C

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1689285538

Individual Registrant:
 AUSTIN D DARBYSHIRE FNP-C
Gender: M
Not Sole Proprietor

Location and contact information for practice:
355 CLEAR CREEK PKWY STE 1003  LAVONIA, GA 30553-4271 US
Tel: 706-356-1422  Fax: 706-356-1425

Contact information for business:
PO BOX 48089  ATHENS, GA 30604-8089 US
Tel: 706-389-3727  Fax: 706-389-3951

Registration Information:
NPI: 1689285538
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
SC24112
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
GARN216844

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS GA - Page 1



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