Austin, Walter Kenneth

Austin, Walter Kenneth is an individual health care provider with primary practice located at 220 J L White Dr Suite 100, Jasper GA 30143-4893. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Austin, Walter Kenneth can be contacted via phone (706) 636-6500.

Contact Information

Primary practice address
220 J L White Dr Suite 100 Jasper GA 30143-4893
Phone: (706) 636-6500
Fax: (706) 636-6502
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 047049 Georgia
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 047049 Georgia

Profile Details

NPI number 1548265838
LBN Legal business name Austin, Walter Kenneth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2005
Last updated Jul 31st, 2020 - about 5 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1548265838 NPPES
Georgia MEDICAID 000818639DEG

Popular Providers