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DR. ROSE C AUGUSTINE M.D.

>> Pediatrics >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1114123122

Individual Registrant:
DR. ROSE C AUGUSTINE M.D.
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

Contact information for business:
1610 BROADRICK DR  DALTON, GA 30720-3012 US
Tel: 706-279-1994  Fax: 706-279-9229

Registration Information:
NPI: 1114123122
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y208000000XAllopathic & Osteopathic Physicians
Pediatrics
GA062465

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS GA - Page 1



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