Individual
MARK WAYNE AUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10510 JEFFERSON AVE, SUITE D, NEWPORT NEWS, VA 23601-3102
(757) 594-4720
(757) 594-4735
Mailing address
856 J CLYDE MORRIS BLVD, SUITE A, NEWPORT NEWS, VA 23601-1318
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0101049499
VA
207V00000X
Obstetrics & Gynecology Physician
31705
NC
Other
Enumeration date
01/24/2006
Last updated
09/23/2013
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