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Individual
AUSTIN JAMES MALCOM
Active
Individual
AUSTIN JAMES MALCOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
008931
GA
363AS0400X
Surgical Physician Assistant
8931
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1205311131
NPI
—
Enumeration date
09/26/2018
Last updated
02/12/2026
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