Individual
AUSTIN THOMAS ALBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
590 NEWARK GRANVILLE RD, GRANVILLE, OH 43023-1436
(888) 531-7444
(614) 867-9889
Mailing address
PO BOX 378, GRANVILLE, OH 43023-0378
(888) 531-7444
(614) 867-9889
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.006066RX
OH
Other
Enumeration date
02/10/2021
Last updated
02/16/2021
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