Dr BETHANY K AUGUSTINE is a female medical professional, specializing in Physician Assistant. She graduated in 2014.
LIFEBRIDGE COMMUNITY PHYSICIANS INC
5401 OLD COURT RD
RANDALLSTOWN
MD
211335103
Tel:
| Npi | 1104228568 |
| Pac Id | 7113149683 |
| Professional Enrollment Id | I20141118000751 |
| Last Name | AUGUSTINE |
| First Name | BETHANY |
| Middle Name | K |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2014 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Secondary Specialty 1 | |
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| Organization Legal Name | LIFEBRIDGE COMMUNITY PHYSICIANS INC |
| Group Practice Pac Id | 3678751468 |
| Number Of Group Practice Members | 111 |
| Line 1 Street Address | 5401 OLD COURT RD |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | RANDALLSTOWN |
| State | MD |
| Zip Code | 211335103 |
| Phone Number | |
| Hospital Affiliation Ccn 1 | 210040 |
| Hospital Affiliation Lbn 1 | NORTHWEST HOSPITAL CENTER |
| Hospital Affiliation Ccn 2 | |
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| Professional Accepts Medicare Assignment | Y |
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