Provider Demographics
NPI:1902891732
Name:AUGENSTEIN, RALF GERALD (MD)
Entity Type:Individual
Prefix:DR
First Name:RALF
Middle Name:GERALD
Last Name:AUGENSTEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 84009
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31908-4009
Mailing Address - Country:US
Mailing Address - Phone:229-312-5839
Mailing Address - Fax:229-312-5853
Practice Address - Street 1:425 W 3RD AVE
Practice Address - Street 2:STE 340
Practice Address - City:ALBANY
Practice Address - State:GA
Practice Address - Zip Code:31701-1968
Practice Address - Country:US
Practice Address - Phone:229-312-9150
Practice Address - Fax:229-312-9155
Is Sole Proprietor?:No
Enumeration Date:2005-09-19
Last Update Date:2014-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA052420207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA006265386AMedicaid
GA11BDWNNMedicare ID - Type Unspecified
GA006265386AMedicaid