Austin, Maynard W

Austin, Maynard W is an individual health care provider with primary practice located at 1404 Tusculum Blvd Laughlin Mob, Suite 3100, Greeneville TN 37745-4395. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Austin, Maynard W can be contacted via phone (423) 638-4114.

Contact Information

Primary practice address
1404 Tusculum Blvd Laughlin Mob, Suite 3100 Greeneville TN 37745-4395
Phone: (423) 638-4114
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 06304 Tennessee

Profile Details

NPI number 1144266768
LBN Legal business name Austin, Maynard W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2006
Last updated Jan 5th, 2010 - about 15 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 1144266768 NPPES
Tennessee Other 110190591 RR MEDICARE
Tennessee MEDICAID 3145919 RR MEDICARE

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