AUGUSTINE HEALTH GROUP LLC NPI 1639375199

NPI Information

AUGUSTINE HEALTH GROUP, LLC is a forensic psychiatry psychiatry neurology in Columbia, SC. The provider is forensic Psychiatry is a subspecialty with psychiatric focus on interrelationships with civil, criminal and administrative law, evaluation and specialized treatment of individuals involved with the legal system, incarcerated in jails, prisons, and forensic psychiatry hospitals. AUGUSTINE HEALTH GROUP, LLC NPI is 1639375199. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Providence Psychiatric Consults.

The provider's business location address is:

114 GATEWAY CORPORATE BLVD
SUITE 425
COLUMBIA, SC
ZIP 29203-740
Phone: (803) 256-5300

The provider's authorized official is Jeremy W. Whitaker .
The authorized official title is Manager and has the following contact phone number (806) 865-4798.

The enumeration date for this NPI number is 6/22/2007 and was last updated on 4/29/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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