Austin, Demetria Yvette

Austin, Demetria Yvette is an individual health care provider with primary practice located at 2800 Godwin Blvd , Suffolk VA 23434-8038. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Austin, Demetria Yvette can be contacted via phone (757) 967-8622.

Contact Information

Primary practice address
2800 Godwin Blvd Suffolk VA 23434-8038
Phone: (757) 967-8622
Fax: (757) 686-0541
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2003-00442 North Carolina
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0101254392 Virginia

Profile Details

NPI number 1093700445
LBN Legal business name Austin, Demetria Yvette
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2005
Last updated Mar 7th, 2023 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093700445 NPPES
South Carolina MEDICAID N0044C
South Carolina Other P00033423
South Carolina Other 2003-00442
South Carolina MEDICAID 89134CM

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