Individual
DR. STEPHEN JOHN AUGUSTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
100 DOCTORS DR STE I, DOUGLAS, GA 31533-2211
(912) 383-6575
(912) 383-6476
Mailing address
100 DOCTORS DR STE I, DOUGLAS, GA 31533-2211
(912) 383-6575
(912) 383-6476
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
046666
GA
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
046666
GA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
046666
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
046666
MEDICAL LICENSE
GA
Enumeration date
03/29/2006
Last updated
07/21/2022
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