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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679924344 NPPES
South Carolina Other LL39563 LIMITED LICENSE
South Carolina Other 39563 LIMITED LICENSE

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