Mr. JACKSON B AUSTIN PA-C
Individual Provider (NPI-1)
Active
Physician Assistant
Provider Information
- NPI Number
1346763786- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PA-C
- Status
- Active
Contact & Location
- Address
- 701 MADISON AVE, MADISON, WV, 251301669
- Phone
- (304) 369-1230
Specialties & Taxonomies
Physician Assistant
Primary License: WV #2052
All Addresses
MAILING
9336 S MOUNTAIN RD
POUND, VA, 242794735