Healthcare Provider Details

I. General information

NPI: 1992068183
Provider Name (Legal Business Name): AUSTIN YOUNGER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: AUSTIN YOUNGER MD

II. Dates (important events)

Enumeration Date: 06/21/2012
Last Update Date: 01/25/2022
Certification Date: 01/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3290 DAUPHIN ST
MOBILE AL
36606-4062
US

IV. Provider business mailing address

6000 W HWY 98 UROLOGY DEPARTMENT
PENSACOLA FL
32512-0001
US

V. Phone/Fax

Practice location:
  • Phone: 251-660-5930
  • Fax: 251-660-5931
Mailing address:
  • Phone: 850-505-6485
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberLL 34921
License Number StateSC
# 2
Primary TaxonomyY
Taxonomy Code208800000X
TaxonomyUrology Physician
License NumberME133264
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: