Austin, Cordell
Austin, Cordell is an individual health care provider with primary practice located at 6711 Forest Park Dr , Savannah GA 31406-2507. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Austin, Cordell can be contacted via phone (912) 429-8452.Contact Information
Primary practice address
6711 Forest Park Dr
Savannah GA 31406-2507
Phone: (912) 429-8452
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
| NPI number | 1659815538 |
|---|---|
| LBN Legal business name | Austin, Cordell |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 12th, 2016 |
| Last updated | Dec 12th, 2016 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659815538 | NPPES |
| Massachusetts | MEDICAID | 110026265E |
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