Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | 59595 | GA |
N | 207P00000X | Emergency Physician | ME 104057 | FL |
Y | 208200000X | Surgeon | 59595 | GA |
Y | 208600000X | Surgeon | 59595 | GA |
N | 208200000X | Surgeon | ME 104057 | FL |
N | 208600000X | Surgeon | ME 104057 | FL |
N | 2082S0105X | Plastic Hand Surgeon | 59595 | GA |
N | 2082S0105X | Plastic Hand Surgeon | ME 104057 | FL |
N | 2086S0122X | Plastic and Reconstructive Surgery | ME 104057 | FL |
NPI | 1437290392 |
---|---|
Provider Name | Dr. William Troy Austin |
First Address | Martinez, GA 30907-3069 |
Second Address | Evans, GA 30809-3188 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/02/2007 |
Last Update Date | 06/10/2016 |