Provider Demographics
NPI:1609230689
Name:LOONEY, AUSTIN MACFARLAND (MD)
Entity type:Individual
Prefix:DR
First Name:AUSTIN
Middle Name:MACFARLAND
Last Name:LOONEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3200 DOWNWOOD CIR NW STE 410
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30327-1624
Mailing Address - Country:US
Mailing Address - Phone:404-352-4779
Mailing Address - Fax:
Practice Address - Street 1:3200 DOWNWOOD CIR NW STE 410
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30327-1624
Practice Address - Country:US
Practice Address - Phone:477-940-4352
Practice Address - Fax:336-275-5346
Is Sole Proprietor?:No
Enumeration Date:2016-04-06
Last Update Date:2024-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA99137207XX0005X, 207XX0005X
NC2022-01692207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty