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Individual
AUSTIN LEE ROACH MCJUNKINS
Active
Individual
AUSTIN LEE ROACH MCJUNKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
207Q00000X
Family Medicine Physician
Primary
39563
SC
208600000X
Surgery Physician
2018-01199
NC
208600000X
Surgery Physician
LL39563
SC
208D00000X
General Practice Physician
2018-01199
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39563
MEDICAL LICENSE
SC
01
—
LL39563
LIMITED LICENSE
SC
Enumeration date
06/23/2016
Last updated
04/28/2026
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