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General NPI Number Information
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NPI Number | 1609230689
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Entity Type | Individual
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Provider Name | AUSTIN MACFARLAND LOONEY M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/06/2016
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Last Update Date | 11/07/2024
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Provider Practice Location Address
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Address Line | 3200 DOWNWOOD CIR NW STE 410
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City | ATLANTA
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State | GA
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Zip | 30327-1624
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Country | US
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Telephone | 477-940-4352
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Fax | 336-275-5346
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Provider Business Mailing Address
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Address Line | 3200 DOWNWOOD CIR NW STE 410
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City | ATLANTA
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State | GA
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Zip | 30327-1624
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Country | US
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Telephone | 404-352-4779
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Fax |
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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 | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number | 99137
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License Number State | GA
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