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Mikenzie Sturdevant, DO
NPI 1578293734 · on the registry since 2022 · sole proprietor
Practice
- Address
- 1120 15th St # Bi-4072a
Augusta, GA 30912 - Phone
- (706) 721-2503
Registry record
- Primary taxonomy
- 208600000X
208600000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-08-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia