NPI 1053605196

Augustine Health Group

Organisation Family Medicine Physician Columbia, SC

Practice location

Address: 105 Professional Park Drive, Columbia, SC 29229
Phone: (803) 865-4780
Fax: (803) 865-4932
Mailing address: 114 Gateway Corporate Blvd Suite 425, Columbia, SC 29203-9740

Authorised official

Name: Angela Haithcock
Title: Credentialing Coordinator
Phone: (803) 865-4780

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X

Other Family Medicine providers in South Carolina →

Registry record

NPI: 1053605196
Entity type: Organization
NPI issued: 7 Jun 2011
Record last updated: 7 Jun 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.