Provider Demographics
NPI:1346407814
Name:SOLTERO, AUGUSTO E (MD)
Entity Type:Individual
Prefix:
First Name:AUGUSTO
Middle Name:E
Last Name:SOLTERO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2336 DAWSON RD
Mailing Address - Street 2:SUITE 2200
Mailing Address - City:ALBANY
Mailing Address - State:GA
Mailing Address - Zip Code:31707-2800
Mailing Address - Country:US
Mailing Address - Phone:229-312-8871
Mailing Address - Fax:229-312-8743
Practice Address - Street 1:2336 DAWSON RD
Practice Address - Street 2:SUITE 2200
Practice Address - City:ALBANY
Practice Address - State:GA
Practice Address - Zip Code:31707-2800
Practice Address - Country:US
Practice Address - Phone:229-312-8871
Practice Address - Fax:229-312-8743
Is Sole Proprietor?:No
Enumeration Date:2008-05-21
Last Update Date:2010-05-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR17300207QS0010X
GA061350207QS0010X
FLME96748207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine