Augustine Health Group, LLC

NPI #1639463771 in Cayce, South Carolina

Provider Information

NPI Number: 1639463771
Entity Type: Organization
Organization Name: Augustine Health Group, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: SISTERS OF CHARITY PROVIDENCE HOSPITAL
Primary Specialty: Family Medicine
Enumeration Date: Jun 7, 2011
Last Updated: Jun 7, 2011

Practice Location

Address: 190 KNOX ABBOTT DR
Address 2: SUITE 3-C
City: Cayce
State: South Carolina
ZIP Code: 29033-4348
Phone: (803) 865-4780

Authorized Official

Name: ANGELA HAITHCOCK
Title: CREDENTIALING COORDINATOR
Phone: (803) 865-4780

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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