Individual
JOSEPH AUSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 MAXWELL DR, VICKSBURG, MS 39180-4476
(601) 883-2900
Mailing address
100 MAXWELL DR, VICKSBURG, MS 39180-4476
(601) 883-2900
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
13152
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00115304
—
MS
Enumeration date
10/18/2006
Last updated
07/08/2007
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