Walter Kenneth Austin Jr, MD | |
220 J L White Dr, Suite 100, Jasper, GA 30143-4893 | |
(706) 636-6500 | |
(706) 636-6502 |
Full Name | Walter Kenneth Austin Jr |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 220 J L White Dr, Jasper, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548265838 | NPI | - | NPPES |
000818639DEG | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0000X | Internal Medicine - Cardiovascular Disease | 047049 (Georgia) | Secondary |
207R00000X | Internal Medicine | 047049 (Georgia) | Primary |
Entity Name | Good Samaritan Health & Wellness Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407174675 PECOS PAC ID: 7719136209 Enrollment ID: O20120926000639 |
Mailing Address | Practice Location Address |
---|---|
Walter Kenneth Austin Jr, MD 175 Samaritan Dr Ste 100, Jasper, GA 30143-1964 Ph: (706) 253-4673 | Walter Kenneth Austin Jr, MD 220 J L White Dr, Suite 100, Jasper, GA 30143-4893 Ph: (706) 636-6500 |
Dr. Jimmie Dale Cannon Jr., MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 220 J.l. White Drive, Suite 100, Jasper, GA 30143 Phone: 706-253-8001 Fax: 706-253-8002 | |
Karl Mareth, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 134 Mountainside Village Pkwy Bldg 500, Jasper, GA 30143 Phone: 706-253-7340 | |
Dr. Bryan D Hooker, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 14 Sammy Mcghee Blvd Ste 204, Jasper, GA 30143 Phone: 706-253-3842 Fax: 706-253-3837 | |
Neetu Pannala-lakshma Reddy, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 220 J L White Dr Ste 150, Jasper, GA 30143 Phone: 706-299-2200 | |
Dr. Michael Dan Perrino, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 134 Mountainside Village Pkwy, Building 500, Jasper, GA 30143 Phone: 706-253-7340 | |
Jason Andrew Berner, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 220 J L White Dr, Suite 110, Jasper, GA 30143 Phone: 706-253-3842 Fax: 706-253-3837 | |
Christine E. Dukes, FNP-C Internal Medicine Medicare: Medicare Enrolled Practice Location: 51 Gordon Rd, Jasper, GA 30143 Phone: 706-692-9768 |