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Contact Information

AUDREY D JERNIGAN
301 PINEVIEW DR.
WAYCROSS, GA31501
 Phone: 912-285-2361
 Fax: 912-285-0571
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for AUDREY D JERNIGAN · (Female)

NPI # 1245363688
Status Active
Credentials
Entity Individual
Enumeration date 03/14/2007
Last updated 04/03/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • GA License # PT001243
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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