Healthcare Provider Details

I. General information

NPI: 1750292306
Provider Name (Legal Business Name): AUSTIN P DRURY LMT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

243 SMITHVILLE CHURCH RD
WARNER ROBINS GA
31088-7803
US

IV. Provider business mailing address

698 MARTIN LUTHER KING JR BLVD APT 7
MACON GA
31201-3287
US

V. Phone/Fax

Practice location:
  • Phone: 719-243-3556
  • Fax:
Mailing address:
  • Phone: 719-243-3556
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number015753
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: