Austin-Harris, Corliss La-Shunuette

Austin-Harris, Corliss La-Shunuette is an sole proprietor health care provider with primary practice located at 770 Village Square Dr , Stone Mountain GA 30083-3380. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as her primary health care specialty. Austin-Harris, Corliss La-Shunuette can be contacted via phone (404) 298-8998.

Contact Information

Primary practice address
770 Village Square Dr Stone Mountain GA 30083-3380
Phone: (404) 298-8998
Fax: (404) 298-7658
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X POD000689 Georgia

Profile Details

NPI number 1285656181
LBN Legal business name Austin-Harris, Corliss La-Shunuette
Credentials D.P.M., M.S.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 23rd, 2006
Last updated Feb 16th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285656181 NPPES
Other 480023572 RAILROAD MEDICARE
MEDICAID 000536357B RAILROAD MEDICARE

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