Mavictoria Agustin in Hartsville - Pediatrics

Mavictoria Agustin - NPI 1760555494

Mavictoria Agustin is a Pediatrics in Hartsville, South Carolina. Mavictoria Agustin practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Mavictoria Agustin is 1760555494. The last update date is 2014-10-27.

Mavictoria Agustin's current location address is Po Box 1090, Hartsville, South Carolina. You can contact this provider via phone number 8438570111 and fax number 8438570206. The mailing address for Mavictoria Agustin is Po Box 1090, Hartsville, South Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Mavictoria Agustin
Address Po Box 1090, Hartsville, South Carolina
Phone Number 8438570111
Fax Number 8438570206
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1760555494
Provider Enumeration Date 2006-11-17
Last Updated Date 2014-10-27

Provider Mailing Address Detail

Address Po Box 1090
City Hartsville
State South Carolina (SC)
Post Code 295511090
Phone Number 8438570111
Fax Number 8438570206

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Licence No 2010-00505
Definition:
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
410323800 MD --
8902644 NC --
355715 SC --
201000505 NC --

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FAQs about Mavictoria Agustin

What is the unique 10-digit identifier code assigned to Mavictoria Agustin by the Centers for Medicare & Medicaid Services?

The Mavictoria Agustin has been issued the NPI (National Provider Identifier) 1760555494 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Mavictoria Agustin?

The Mavictoria Agustin is physically situated at Po Box 1090, in the city of Hartsville, state of SC, with the postal code 295511090.

What is Mavictoria Agustin's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Mavictoria Agustin is Pediatrics, and the corresponding taxonomy classification code for this specialized field is 208000000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1760555494 to Mavictoria Agustin?

The Centers for Medicare & Medicaid Services assigned the 1760555494 to Mavictoria Agustin on 2006-11-17.

As of what date were the details related to Mavictoria Agustin most recently updated or revised?

The information pertaining to Mavictoria Agustin, including its address, specialty, and other relevant details, was last updated or revised on 2014-10-27.

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