GRANT AUSTIN

OAKWOOD, GA
NPI1417466749
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy224L00000X Pedorthist
(Licence: GA  CPED2311)
Enumeration Date2017-09-29
Last Update Date2017-09-29
Business Address
GRANT AUSTIN CPED
5035 FLORENCE ST
OAKWOOD, GA 30566-2646
Phone number: 770-539-9474
Mailing Address
GRANT AUSTIN CPED
14 BROOKS DR
ORMOND BEACH, FL 32176-3722
Phone number: 386-236-9672