Autry, John Stephen

Autry, John Stephen is an sole proprietor health care provider with primary practice located at 901 College Ave , Blackshear GA 31516. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Autry, John Stephen can be contacted via phone (912) 449-2714.

Contact Information

Primary practice address
901 College Ave Blackshear GA 31516
Phone: (912) 449-2714
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MFT000386 Georgia

Profile Details

NPI number 1619002003
LBN Legal business name Autry, John Stephen
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 23rd, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers