Individual
DR. GEORGE AUGUSTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1133 COOK RD, ORANGEBURG, SC 29118-8204
(803) 531-5864
(803) 539-0452
Mailing address
1133 COOK RD, ORANGEBURG, SC 29118-8204
(803) 531-5864
(803) 539-0452
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
16453
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP2133
—
SC
Enumeration date
01/19/2007
Last updated
07/08/2007
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