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Nida Rauf Augustine

Family Medicine

Allopathic & Osteopathic Physicians

1638 Owen Dr, Fayetteville, NC 28304-3424

PECOS Enrollment

This provider is enrolled in PECOS as NIDA AUGUSTINE.

Based on the most recent information from CMS, provider Nida Rauf Augustine is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 5 days ago.

Profile Details

Provider ID
1235512369
Provider Type
Individual
Full Name
Augustine, Nida Rauf
Credential
DO

Gender
Female
Sole Proprietor
No
Enumeration Date
7/7/2015
Last Updated
2/11/2019

Contact Information

Practice Location

1638 Owen Dr, Fayetteville, NC 28304-3424

(910) 615-5610

(910) 615-5080

Mailing Location

1120 15th St, Augusta, GA 30912-0004

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207Q00000X Primary	Description Family Medicine Allopathic & Osteopathic Physicians	License 2018-01567 North Carolina
Code 207Q00000X	Description Family Medicine Allopathic & Osteopathic Physicians	License 7684 Georgia

Nida Rauf Augustine

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

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