Individual
JAMES WILLIAM AUGUSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
34012460
OH
390200000X
Student in an Organized Health Care Education/Training Program
31-0564121
OH
Other
Enumeration date
07/20/2012
Last updated
11/19/2020
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