Malcom, Austin James

Malcom, Austin James is an individual health care provider with primary practice located at 655 Jesse Jewell Pkwy Se , Gainesville GA 30501-3854. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Malcom, Austin James can be contacted via phone (770) 533-7288.

Contact Information

Primary practice address
655 Jesse Jewell Pkwy Se Gainesville GA 30501-3854
Phone: (770) 533-7288
Fax: (770) 534-9800
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 008931 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 8931 Georgia

Profile Details

NPI number 1205311131
LBN Legal business name Malcom, Austin James
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2018
Last updated Sep 20th, 2022 - about 4 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 1205311131 NPPES
Other 1205311131 NPI

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