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AUSTIN LEE ROACH MCJUNKINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
455 LAKESHORE PKWY, ROCK HILL, SC 29730-4205
(803) 909-6363
(877) 658-8669
Mailing address
455 LAKESHORE PKWY, ROCK HILL, SC 29730-4205
(803) 909-6363
(803) 909-6390

Taxonomy

Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
207Q00000X
Family Medicine Physician
Primary
39563
SC
208600000X
Surgery Physician
2018-01199
NC
208600000X
Surgery Physician
LL39563
SC
208D00000X
General Practice Physician
2018-01199
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
39563
MEDICAL LICENSE
SC
01
LL39563
LIMITED LICENSE
SC
Enumeration date
06/23/2016
Last updated
04/28/2026
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