Austin, Martin Lawrence

Austin, Martin Lawrence is an individual health care provider with primary practice located at 1000 Medical Center Blvd , Lawrenceville GA 30046-7694. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Austin, Martin Lawrence can be contacted via phone (678) 312-3273.

Contact Information

Primary practice address
1000 Medical Center Blvd Lawrenceville GA 30046-7694
Fax: (678) 312-3282
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 37749 Georgia
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 37749 Georgia

Profile Details

NPI number 1760533418
LBN Legal business name Austin, Martin Lawrence
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2007
Last updated Feb 24th, 2021 - about 3 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 1760533418 NPPES
Georgia MEDICAID 000579664C
Georgia Other 110242320

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