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General NPI Number Information
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NPI Number | 1013958677
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Entity Type | Individual
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Provider Name | AMANDA C AUSTIN MD
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Gender | Female
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Dates
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Enumeration Date | 06/08/2006
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Last Update Date | 01/30/2012
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Provider Practice Location Address
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Address Line | 2522 S CROATAN HWY STE 1B
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City | NAGS HEAD
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State | NC
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Zip | 27959-8809
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Country | US
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Telephone | 252-441-5038
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Fax | 252-441-5216
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Provider Business Mailing Address
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Address Line | PO BOX 1628
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City | NAGS HEAD
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State | NC
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Zip | 27959-1628
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Country | US
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Telephone | 252-441-5038
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Fax | 252-441-5216
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 173000000X
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Taxonomy Name | Legal Medicine
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License Number | 9601219
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License Number State | NC
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