Individual
SANTHOSH AUGUSTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 W 27TH ST, LUMBERTON, NC 28358-3014
(910) 739-0770
(910) 739-4102
Mailing address
101 W 27TH ST, LUMBERTON, NC 28358-3014
(910) 739-0770
(910) 739-4102
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
9600445
NC
207RG0100X
Gastroenterology Physician
Primary
96-00445
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19AKQ
BCBS
NC
05
—
8912277
—
NC
Enumeration date
10/20/2005
Last updated
01/23/2017
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