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Contact Information

AUGUSTINE HEALTH GROUP, LLC
2701 MIDDLEBURG DRIVE
COLUMBIA, SC29204
 Phone: 803-254-2786
 Fax: 803-254-9015
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for AUGUSTINE HEALTH GROUP, LLC

NPI # 1093966400
LBN Legal business name AUGUSTINE HEALTH GROUP, LLC
Authorized official ANGELA HAITHCOCK - (PROJECT MANAGER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 10/03/2008
Last updated 01/11/2012 - About 14 years ago
Identifiers
SC License # 22699
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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