Austin, Michael

Austin, Michael is an individual health care provider with primary practice located at 3020 Highway 124 , Snellville GA 30039-4614. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Austin, Michael can be contacted via phone (770) 476-3636.

Contact Information

Primary practice address
3020 Highway 124 Snellville GA 30039-4614
Phone: (770) 476-3636
Fax: (770) 978-8580
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 025937 Georgia
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 025937 Georgia

Profile Details

NPI number 1134155153
LBN Legal business name Austin, Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2006
Last updated Dec 13th, 2018 - about 7 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 1134155153 NPPES
Georgia MEDICAID 00330393H

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