Organization
AUGUSTINE HEALTH GROUP, LLC
Active
Other names
Carolina Cardiovascular Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEREMY WHITAKER (PHYSICIAN NETWORK MANAGER)
(803) 865-4798
Entity
Organization
Contact information
Practice address
108 PALMETTO PARK BLVD, LEXINGTON, SC 29072-7968
(803) 356-0949
(803) 356-1795
Mailing address
114 GATEWAY CORPORATE BLVD, SUITE 425, COLUMBIA, SC 29203-9740
(803) 865-4780
(803) 865-4932
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
10/06/2010
Last updated
10/06/2010
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