NPI 1417466749

Grant Austin, CPED

Practitioner Pedorthist Oakwood, GA

Practice location

Address: 5035 Florence St, Oakwood, GA 30566-2646
Phone: (770) 539-9474
Fax: (770) 531-1670
Mailing address: 14 Brooks Dr, Ormond Beach, FL 32176-3722

Registered specialties

Pedorthist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224L00000X Licence CPED2311 (GA)

Other Pedorthist providers in Georgia →

Registry record

NPI: 1417466749
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Sep 2017
Record last updated: 29 Sep 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.