Individual
CHARLES ADRIAN AUSTIN, III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4420 LAKE BOONE TRL, RALEIGH, NC 27607-7505
(919) 784-7093
(919) 784-7395
Mailing address
4420 LAKE BOONE TRL, RALEIGH, NC 27607-7505
(919) 784-7093
(919) 784-7395
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
201300375
NC
390200000X
Student in an Organized Health Care Education/Training Program
164554
NC
Other
Enumeration date
06/14/2010
Last updated
09/17/2013
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