Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2081P2900X | Pain Medicine | 200864 | LA |
Y | 2081P2900X | Pain Medicine | 65082 | GA |
NPI | 1295904050 |
---|---|
Provider Name | Dr. Joseph Charles Augustin |
First Address | Augusta, GA 30916 |
Second Address | Augusta, GA 30901-1037 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/02/2008 |
Last Update Date | 15/04/2013 |