Augustine, Stephen John
Augustine, Stephen John is an individual health care provider with primary practice located at 100 Doctors Dr Ste I , Douglas GA 31533-2211. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Augustine, Stephen John can be contacted via phone (912) 383-6575.Contact Information
Primary practice address
100 Doctors Dr Ste I
Douglas GA 31533-2211
Phone: (912) 383-6575
Fax: (912) 383-6476
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery | 207XS0114X | 046666 | Georgia |
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | 046666 | Georgia |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 046666 | Georgia |
Profile Details
| NPI number | 1538120639 |
|---|---|
| LBN Legal business name | Augustine, Stephen John |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 29th, 2006 |
| Last updated | Jul 21st, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538120639 | NPPES |
| Georgia | Other | 046666 | MEDICAL LICENSE |
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