Individual
AUGUSTINA ADDISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3130 N COUNTY ROAD 25A STE 205, TROY, OH 45373-1337
(937) 335-1660
(937) 440-4020
Mailing address
3170 KETTERING BLVD BLDG B3, MORAINE, OH 45439-1924
(937) 991-3188
(937) 223-9811
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
2022-02421
NC
207V00000X
Obstetrics & Gynecology Physician
Primary
35.140195
OH
207V00000X
Obstetrics & Gynecology Physician
MT209133
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0413049
—
OH
Enumeration date
06/10/2015
Last updated
04/07/2026
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