Organization
AUGUSTINE HEALTH GROUP, LLC
Active
Other names
Providence Inpatient Medicine Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANGELA HAITHCOCK (PROJECT MANAGER)
(803) 865-4780
Entity
Organization
Contact information
Practice address
2435 FOREST DR, COLUMBIA, SC 29204-2026
(803) 256-5300
Mailing address
PO BOX 601964, CHARLOTTE, NC 28260-1964
(855) 477-2477
(216) 472-2740
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
06/22/2007
Last updated
02/06/2012
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