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DR. ROSE C AUGUSTINE M.D.
>> Pediatrics >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1114123122
Individual Registrant:DR. ROSE C AUGUSTINE M.D.
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
1610 BROADRICK DR DALTON, GA 30720-3012 US
Tel: 706-279-1994 Fax: 706-279-9229
Tel: 706-279-1994 Fax: 706-279-9229
Contact information for business:
1610 BROADRICK DR DALTON, GA 30720-3012 US
Tel: 706-279-1994 Fax: 706-279-9229
Tel: 706-279-1994 Fax: 706-279-9229
Registration Information:
NPI: 1114123122
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 208000000X | Allopathic & Osteopathic Physicians Pediatrics | GA | 062465 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
