| Augustine Health Group, Llc | |
|
300 Long Pointe Ln Suite 130 Columbia SC 29229-7543 | |
| (803) 462-7193 | |
| (803) 462-7163 |
| Full Name | Augustine Health Group, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 300 Long Pointe Ln, Columbia, South Carolina |
| Authorized Official Name and Position | Jeremy W Whitaker (MANAGER) |
| Authorized Official Contact | 8038654798 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Augustine Health Group, Llc Po Box 60496 Charlotte NC 28260-0496 Ph: (803) 462-7193 | Augustine Health Group, Llc 300 Long Pointe Ln Suite 130 Columbia SC 29229-7543 Ph: (803) 462-7193 |
| NPI Number | 1750401451 |
|---|---|
| Provider Enumeration Date | 03/29/2007 |
| Last Update Date | 03/07/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750401451 | NPI | - | NPPES |
| GP4545 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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