Individual provider · Type 1 NPI
Grant Austin, CPED
Pedorthist · Oakwood, GA
NPI number
1417466749
Active
Practice location
5035 Florence St
Oakwood, GA 30566-2646
Fax (770) 531-1670
Mailing address
14 Brooks Dr
Ormond Beach, FL 32176-3722
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pedorthist Primary | 224L00000X | CPED2311 (GA) |
Pedorthist: An individual who is trained in the management and treatment of conditions of the foot, ankle, and lower extremities requiring fitting, fabricating, and adjusting of pedorthic devices.
About NPI 1417466749
Grant Austin, CPED's National Provider Identifier is 1417466749, issued on Sep 29, 2017. The primary taxonomy on file is Pedorthist (224L00000X), and the practice location is in Oakwood, GA. The record was last updated on Sep 29, 2017.