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NPI Code Detail

MEDICARE: MRS. DORIS ANN AUGUSTUS MASTER DEGREE

MEDICARE: MRS. DORIS ANN AUGUSTUS MASTER DEGREE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1336562826
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DORIS ANN AUGUSTUS MASTER DEGREE
Provider Business Mailing Address
First Line : 3173 WASHINGTON AVE
Second Line :
City : BATON ROUGE
State : LA
Zip : 70802-2178
Country : US
Telephone Number : 225-778-7678
Fax Number :
Provider Business Practice Location Address
First Line : 3173 WASHINGTON AVE
Second Line :
City : BATON ROUGE
State : LA
Zip : 70802-2178
Country : US
Telephone Number : 225-778-7678
Fax Number : 225-341-6825
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/04/2014
Last Update Date : 11/22/2023

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