Provider Demographics
NPI:1992068183
Name:YOUNGER, AUSTIN (MD)
Entity type:Individual
Prefix:DR
First Name:AUSTIN
Middle Name:
Last Name:YOUNGER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:AUSTIN
Other - Middle Name:
Other - Last Name:YOUNGER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:6000 W HWY 98 UROLOGY DEPARTMENT
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32512-0001
Mailing Address - Country:US
Mailing Address - Phone:850-505-6485
Mailing Address - Fax:
Practice Address - Street 1:3290 DAUPHIN ST
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36606-4062
Practice Address - Country:US
Practice Address - Phone:251-660-5930
Practice Address - Fax:251-660-5931
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-21
Last Update Date:2022-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCLL 34921208600000X
FLME133264208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
No208600000XAllopathic & Osteopathic PhysiciansSurgery