NPI 1154749075 · live from the CMS NPI Registry
Augustine Health Group LLC
Anesthesiology in Columbia, SC. National Provider Identifier 1154749075, active.
NPI record
| NPI | 1154749075 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Anesthesiology 207L00000X |
| Practice location | 2435 Forest Dr, Columbia, SC 29204 |
| Practice phone | 803-865-4780 |
| Mailing address | 7580 Northcliff Ave, Suite 500, Brooklyn, OH 44144 |
| Enumerated | March 29, 2014 |
| Last updated | March 29, 2014 |
| Authorized official | Kelly Mowrer, Credentialing Specialist |
| Other names | Providence Anesthesia Group |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Anesthesiology primary | 207L00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.