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
Phone: (678) 312-3273
Fax: (678) 312-3282
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760533418 | NPPES |
| Georgia | MEDICAID | 000579664C | |
| Georgia | Other | 110242320 |
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