Mcjunkins, Austin Lee Roach
Mcjunkins, Austin Lee Roach is an sole proprietor health care provider with primary practice located at 460 Langdon St , Spartanburg SC 29302-1614. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Other Service Providers / Military Health Care Provider, Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Mcjunkins, Austin Lee Roach can be contacted via phone (864) 582-2411.Contact Information
Primary practice address
460 Langdon St
Spartanburg SC 29302-1614
Phone: (864) 582-2411
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Surgery | 208600000X | LL39563 | South Carolina |
Other Service Providers / Military Health Care Provider | 171000000X | ||
Allopathic & Osteopathic Physicians / Surgery | 208600000X | 2018-01199 | North Carolina |
Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 2018-01199 | North Carolina |
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 39563 | South Carolina |
Profile Details
NPI number | 1679924344 |
---|---|
LBN Legal business name | Mcjunkins, Austin Lee Roach |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 23rd, 2016 |
Last updated | May 16th, 2024 - about last year |
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 | 1679924344 | NPPES |
South Carolina | Other | LL39563 | LIMITED LICENSE |
South Carolina | Other | 39563 | LIMITED LICENSE |
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