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Organization

SANTHOSH AUGUSTINE

Active
Other names
Southeastern Gastroenterology & Internal Medicine
Organization subpart
No

Provider details

NPI number
Authorized official
SANTHOSH AUGUSTINE M.D. (MEDICAL DOCTOR)
(910) 739-0770
Entity
Organization

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
261QM2500X
Medical Specialty Clinic/Center
Primary
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
19AKQ
BCBS
NC
05
8912277
NC
Enumeration date
10/20/2005
Last updated
01/24/2017
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