Individual
DR. LA TANYA AUSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
700 24TH ST, FORT GREGG ADAMS, VA 23801-1716
(804) 734-6093
(804) 734-6263
Mailing address
700 24TH ST, FORT GREGG ADAMS, VA 23801-1716
(804) 734-6093
(804) 734-6263
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
125.058885
IA
Other
Enumeration date
07/08/2010
Last updated
01/02/2024
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