Individual
DR. MAVICTORIA AGUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
545 SUMTER HWY, BISHOPVILLE, SC 29010-7601
(803) 484-5317
(803) 484-4533
Mailing address
PO BOX 1090, HARTSVILLE, SC 29551-1090
(843) 857-0111
(843) 857-0206
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2010-00505
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201000505
—
NC
05
—
355715
—
SC
05
—
410323800
—
MD
05
—
8902644
—
NC
Enumeration date
11/17/2006
Last updated
10/27/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us