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Organization

AUGUSTUS MEDICAL PC

Active
Other names
augustus med
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CARL TRENT AUGUSTUS MD (PRESIDENT)
(704) 510-9481
Entity
Organization

Contact information

Practice address
1001 E WT HARRIS BLVD, SUITE P311, CHARLOTTE, NC 28213-4104
(704) 510-9481
(704) 510-9758
Mailing address
1001 E WT HARRIS BLVD, SUITE P311, CHARLOTTE, NC 28213-4104
(704) 510-9481
(704) 510-9758

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
9601218
NC

Other

Enumeration date
04/08/2008
Last updated
04/08/2008
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