Provider Information for 1467131532
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Mrs. COURTENAY TURQUEA GONZALEZ AUGUSTUS LPC
Sex: Female
NPI: 1467131532
Last Updated: 2023-07-17
Certification Date: 2023-07-17
Certification Date: 2023-07-17
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1467131532 | ||||||||
| Enumeration Date | 2023-07-14 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 1970 MAIN ST E STE B25 SNELLVILLE, GA 30078-6463 United States Phone: 770-609-9092 | Fax: | ||||||||
| Primary Practice Address | 1540 VIRGIL MOON RD LOGANVILLE, GA 30052-2548 United States Phone: 770-722-8262 | Fax: | ||||||||
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