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

TaxonomyCodeLicense
Pedorthist Primary 224L00000XCPED2311 (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.