SearchGeorgia224L00000X

Grant Austin, CPED

NPI 1417466749 · on the registry since 2017 · sole proprietor

Practice

Address
5035 Florence St
Oakwood, GA 30566
Phone
(770) 539-9474
Fax
(770) 531-1670

Registry record

Primary taxonomy
224L00000X
224L00000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2017-09-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia