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Individual

BRETT L AUSTIN

Active
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Individual

BRETT L AUSTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
026441
GA
2085R0202X
Diagnostic Radiology Physician
Primary
MD23687
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000714656
GA
01
3028284
BCBS OF TN
TN
05
3070323
TN
01
4072958
BCBS OF TN
TN
01
595156
BCBS OF GA
GA
01
966200
BCBS OF GA
GA
Enumeration date
07/21/2006
Last updated
02/22/2018
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