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Individual

MICHAEL AUSTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3020 HIGHWAY 124, SNELLVILLE, GA 30039-4614
(770) 476-3636
(770) 978-8580
Mailing address
3020 HIGHWAY 124, SNELLVILLE, GA 30039-4614
(770) 726-1162
(770) 476-5845

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
025937
GA
207R00000X
Internal Medicine Physician
Primary
025937
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00330393H
GA
Enumeration date
06/23/2006
Last updated
12/13/2018
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