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NPI Code Detail

MEDICARE: MICHAEL AUSTIN M.D.

MEDICARE: MICHAEL AUSTIN M.D.
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
1207P00000XEmergency Medicine Physician025937GA
2207R00000XInternal Medicine Physician025937GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1134155153
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL AUSTIN M.D.
Provider Business Mailing Address
First Line : 3020 HIGHWAY 124
Second Line :
City : SNELLVILLE
State : GA
Zip : 30039-4614
Country : US
Telephone Number : 770-726-1162
Fax Number : 770-476-5845
Provider Business Practice Location Address
First Line : 3020 HIGHWAY 124
Second Line :
City : SNELLVILLE
State : GA
Zip : 30039-4614
Country : US
Telephone Number : 770-476-3636
Fax Number : 770-978-8580
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2006
Last Update Date : 12/13/2018

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Directions to “ MICHAEL AUSTIN M.D.” Practice Location

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