Doctor Name: | SEKEITHIA AUSTIN |
NPI Number: | 1255712758 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP-C |
License Number: | 195200 |
Business Practice Address: | 618 East Lamar Street Americus, GA - 31709 |
Business Phone Number: | 2299284755 |
Business Fax Number: | 2299284750 |
Mailing Address: | 156 Pheasant Dr, AMERICUS |
State: | GA |
Postal Code: | 317198591 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 06/11/2015 |
NPI Last Update Date: | 07/24/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 195200 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |