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Individual
TAMARA D AUSTIN
Active
Individual
TAMARA D AUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1607
SC
363A00000X
Physician Assistant
Primary
PA.1344
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1607
LICENSE NUMBER
SC
Enumeration date
03/31/2011
Last updated
05/17/2023
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