Provider Demographics
NPI:1770500472
Name:AUGUSTINE, SCOTT D (MD)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:D
Last Name:AUGUSTINE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:603 BEAMAN ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:CLINTON
Mailing Address - State:NC
Mailing Address - Zip Code:28328-2650
Mailing Address - Country:US
Mailing Address - Phone:910-590-8050
Mailing Address - Fax:910-590-8052
Practice Address - Street 1:603 BEAMAN ST
Practice Address - Street 2:SUITE 100
Practice Address - City:CLINTON
Practice Address - State:NC
Practice Address - Zip Code:28328-2650
Practice Address - Country:US
Practice Address - Phone:910-590-8050
Practice Address - Fax:910-590-8052
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2020-12-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC2010-00213207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
F87699Medicare PIN