Organization
AUGUSTINE HEALTH GROUP, LLC
Active
Parent organization
AUGUSTINE HEALTH GROUP, LLC
Other names
Associates in Internal Medicine
Organization subpart
Yes
Provider details
NPI number
Legal business name
AUGUSTINE HEALTH GROUP, LLC
Authorized official
ANGELA HAITHCOCK (PROJECT MANAGER)
(803) 865-4780
Entity
Organization
Contact information
Practice address
2701 MIDDLEBURG DRIVE, COLUMBIA, SC 29204
(803) 254-2786
(803) 254-9015
Mailing address
114 GATEWAY CORPORATE BLVD., SUITE #425, COLUMBIA, SC 29203
(803) 865-4780
(803) 865-4932
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
22699
SC
Other
Enumeration date
10/03/2008
Last updated
01/11/2012
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