Provider Demographics
NPI:1255479895
Name:AUGENSTEIN, ADAM CHRISTIAN (MD)
Entity Type:Individual
Prefix:DR
First Name:ADAM
Middle Name:CHRISTIAN
Last Name:AUGENSTEIN
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Gender:M
Credentials:MD
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Mailing Address - Street 1:11835 SOUTHMORE DR
Mailing Address - Street 2:STE 202
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28277-4466
Mailing Address - Country:US
Mailing Address - Phone:704-837-1150
Mailing Address - Fax:704-837-1156
Practice Address - Street 1:11835 SOUTHMORE DR
Practice Address - Street 2:STE 202
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28277-4466
Practice Address - Country:US
Practice Address - Phone:704-837-1150
Practice Address - Fax:704-837-1156
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-04
Last Update Date:2023-03-07
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Provider Licenses
StateLicense IDTaxonomies
NC2012-00490208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
BA9853676OtherDEA