NPI 1639463771
Augustine Health Group, LLC
Practice location
- Address
- 190 Knox Abbott Dr Suite 3-C, Cayce, SC 29033-4348
- 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
Registry record
- NPI
- 1639463771
- 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.