Individual
NIDA RAUF AUGUSTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1638 OWEN DR, FAYETTEVILLE, NC 28304-3424
(910) 615-5610
(910) 615-5080
Mailing address
1120 15TH ST, AUGUSTA, GA 30912-0004
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2018-01567
NC
207Q00000X
Family Medicine Physician
7684
GA
Other
Enumeration date
07/07/2015
Last updated
02/11/2019
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