MEDICARE: DR. RALPH AUSTIN JR. MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	021140	GA

General Provider Information

NPI Number	:	1093758294
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RALPH AUSTIN JR. MD

Provider Business Mailing Address
First Line	:	644 TALLULAH TRL
Second Line	:
City	:	WARNER ROBINS
State	:	GA
Zip	:	31088-7625
Country	:	US
Telephone Number	:	478-333-2100
Fax Number	:	478-333-5201

Provider Business Practice Location Address
First Line	:	5398 THOMASTON RD
Second Line	:
City	:	MACON
State	:	GA
Zip	:	31220-8110
Country	:	US
Telephone Number	:	478-743-8316
Fax Number	:	478-743-1824

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/14/2006
Last Update Date	:	04/29/2025

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