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Individual
AUSTIN WES MACKENS
Active
Individual
AUSTIN WES MACKENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
47771
TN
207Q00000X
Family Medicine Physician
Primary
MD47771
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
NULL
Other
Enumeration date
03/25/2010
Last updated
06/12/2025
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