John Stephen Autry, is a
Marriage & Family Therapist based in Blackshear, Georgia. John Stephen Autry is licensed to practice in Georgia (license number MFT000386) and his current practice location is
901 College Ave, Blackshear, Georgia. He can be reached at his office (for appointments etc.) via phone at
(912) 449-2714.
NPI number for John Stephen Autry is 1619002003 and his current mailing address is 901 College Avenue, Blackshear, Georgia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1619002003.
Healthcare Provider's Profile
| Full Name | John Stephen Autry |
|---|
| Gender | Male |
|---|
| Speciality | Marriage & Family Therapist |
|---|
| Location | 901 College Ave, Blackshear, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1619002003
- Provider Enumeration Date: 02/23/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for John Stephen Autry such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1619002003 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 106H00000X | Marriage & Family Therapist | MFT000386 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. John Stephen Autry is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
John Stephen Autry,
901 College Avenue,
Blackshear, GA 31516
Ph: (912) 449-2714 | John Stephen Autry,
901 College Ave,
Blackshear, GA 31516
Ph: (912) 449-2714 |
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