Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MAVICTORIA AGUSTIN, MD
ActiveDR. MAVICTORIA AGUSTIN, MD is a Pediatrics healthcare provider located in BISHOPVILLE, South Carolina. NPI 1760555494 is currently active in the NPPES registry. Verify at CMS.
Pediatrics · BISHOPVILLE, SC
Registration Details
- NPI Number
- 1760555494
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 17, 2006 (19.69551851056 yrs)
- Last Updated
- Oct 27, 2014
- License
-
2010-00505 (NC)
Practice Information
- Address
-
545 SUMTER HWYBISHOPVILLE, SC, 290107601Browse SC providers · Browse ZIP 29010
- Phone
- 8034845317
- Fax
- 8034844533
- Primary Specialty
-
Pediatrics
208000000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.