Healthcare Provider Details

I. General information

NPI: 1508429218
Provider Name (Legal Business Name): WILLIAM AUSTIN WEST M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/17/2019
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3320 OLD JEFFERSON RD STE 200A
ATHENS GA
30607-1478
US

IV. Provider business mailing address

3320 OLD JEFFERSON RD STE 200A
ATHENS GA
30607-1478
US

V. Phone/Fax

Practice location:
  • Phone: 706-549-5560
  • Fax: 706-543-2593
Mailing address:
  • Phone: 706-549-5560
  • Fax: 706-543-2593

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number110163
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: