Individual provider · Type 1 NPI
Audrey Lou St. John, MMP, CNMT, LMT
Specialist · Kingsland, GA
NPI number
1083628986
Active
Practice location
1204 Hospitality Ave, Suite K
Kingsland, GA 31548-6810
Mailing address
112 Carnation Ct
Kingsland, GA 31548-5606
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | MA 44253 (FL) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Another provider at this address
About NPI 1083628986
Audrey Lou St. John, MMP, CNMT, LMT's National Provider Identifier is 1083628986, issued on Jul 28, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Kingsland, GA. The record was last updated on Jul 8, 2007.