Provider Demographics
NPI:1316462740
Name:MARLOW, AUSTIN B (PA)
Entity type:Individual
Prefix:
First Name:AUSTIN
Middle Name:B
Last Name:MARLOW
Suffix:
Gender:M
Credentials:PA
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Mailing Address - Street 1:127 CRESTVIEW PARK DR STE 209
Mailing Address - Street 2:
Mailing Address - City:DICKSON
Mailing Address - State:TN
Mailing Address - Zip Code:37055-2856
Mailing Address - Country:US
Mailing Address - Phone:615-446-5121
Mailing Address - Fax:615-446-1357
Practice Address - Street 1:127 CRESTVIEW PARK DR STE 203
Practice Address - Street 2:
Practice Address - City:DICKSON
Practice Address - State:TN
Practice Address - Zip Code:37055-2856
Practice Address - Country:US
Practice Address - Phone:615-441-4510
Practice Address - Fax:615-446-1357
Is Sole Proprietor?:No
Enumeration Date:2017-08-07
Last Update Date:2017-09-25
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Provider Licenses
StateLicense IDTaxonomies
TNPA3408363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical