Organization

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)

Code

207Q00000X

Primary Taxonomy

Yes

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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Organization

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Specialty: Family Medicine Physician (Primary)

Organization

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Specialties: Family Medicine Physician (Primary)Emergency Medicine PhysicianGeneral Practice Physician