Dr. Corliss La-Shunuette Austin-Harris, D.P.M., M.S.
Podiatrist in Stone Mountain, GA. Individual provider (NPI-1).
NPI number1285656181
StatusActive
Last updated in NPPESFeb 16, 2012
Details
- NPI
- 1285656181
- Entity type
- Individual (NPI-1)
- Name
- Dr. Corliss La-Shunuette Austin-Harris
- Credential
- D.P.M., M.S.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 23, 2006
- Last updated
- Feb 16, 2012
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PODIATRY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213E00000X | Podiatrist | pod000689 | GA | Yes |
Practice location
770 Village Square DrStone Mountain, GA 30083-3380
Phone 404-298-8998 · Fax 404-298-7658
Mailing address
770 Village Square DrStone Mountain, GA 30083-3380
Phone 404-298-8998 · Fax 404-298-7658
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