Augustine Health Group, Llc
May also be knows as Providence Family Medicine Cayce
Family Medicine Physician in Cayce, SC(View on Map)
Legal Business Name
Augustine Health Group, Llc
Also Known As
Providence Family Medicine Cayce
NPI Number
1639463771
NPI Type
Organization
Enumeration Date
06/07/2011
Specialties
(Taxonomies)Contact
Information
Purpose
Mailing
Location
Address
114 GATEWAY CORPORATE BLVD
190 KNOX ABBOTT DR
City
Columbia
Cayce
State
SC
SC
Postal Code
29203-9740
29033-4348
Country
US
US
Telephone Number
(803) 865-4780
(803) 865-4780
Authorized Official
Name
Angela Haithcock
Title or Position
CREDENTIALING COORDINATOR
Telephone Number
(803) 865-4780
Identifiers
Identifier
DA2264
Identifier State
SC
Identifier Issuer
RAILROAD MEDICARE GROUP #
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 06/07/2011
Provider Address
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