Provider Demographics
NPI:1770673766
Name:D'AGOSTINO, SABINO J (DO)
Entity Type:Individual
Prefix:DR
First Name:SABINO
Middle Name:J
Last Name:D'AGOSTINO
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:9565 HIGHWAY 78 BLDG 100
Mailing Address - Street 2:
Mailing Address - City:LADSON
Mailing Address - State:SC
Mailing Address - Zip Code:29456-4118
Mailing Address - Country:US
Mailing Address - Phone:843-553-7615
Mailing Address - Fax:843-553-1008
Practice Address - Street 1:9565 HIGHWAY 78 BLDG 100
Practice Address - Street 2:
Practice Address - City:LADSON
Practice Address - State:SC
Practice Address - Zip Code:29456-4118
Practice Address - Country:US
Practice Address - Phone:843-553-7615
Practice Address - Fax:843-553-1008
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-13
Last Update Date:2023-08-17
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Provider Licenses
StateLicense IDTaxonomies
TXN1600207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery