Providence Family Medicine Dutchfork

LBN: Augustine Health Group, Llc
Providence Family Medicine Dutchfork is an health care organization with primary practice located at 110 Dutchman Blvd , Irmo SC 29063-8330. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Augustine Health Group, Llc can be contacted via phone (803) 732-8370, or through Mowrer, Kelly A via phone (216) 472-2741.

Contact Information

Primary practice address
110 Dutchman Blvd Irmo SC 29063-8330
Phone: (803) 732-8370
Fax: (803) 732-8373
Website:
Map and Directions
Authorized official contact:
Name: Mowrer, Kelly A
Phone: (216) 472-2741

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1790114197
LBN Legal business name Augustine Health Group, Llc
DBA Doing business as Providence Family Medicine Dutchfork
Authorized official Mowrer, Kelly A
Entity Organization
Organization subpart 1 No
Enumeration date Nov 6th, 2013
Last updated Nov 6th, 2013 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers