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Individual

DR. JACK H AUSTIN JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2050 WALTON WAY, AUGUSTA, GA 30904-2305
(706) 434-1590
Mailing address
811 13TH STREET, SUITE 10, AUGUSTA, GA 30901
(706) 434-1590
(706) 434-1595

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
032689
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000421187K
GA
05
G32689
SC
Enumeration date
08/30/2006
Last updated
02/21/2025
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