AUGUSTINE HEALTH GROUP, LLC
Psychiatric at Gateway Corporate Blvd, Columbia, SC

License number
South Carolina 19523
Category
Psychiatric
Type
Forensic Psychiatry
Owner
Name: MR. JEREMY W. WHITAKER
Title: MANAGER
Phone: (806) 865-4798
Address
Address 2
114 Gateway Corporate Blvd SUITE 425, Columbia, SC 29203
PO Box 60496, Charlotte, NC 28260
National Provider ID: 1639375199
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Augustine Health Group, LLC

120 Gtwy Corporate Blvd, Columbia, SC 29203

Industry:
Health/Allied Services
Project Managers:
Jeremy W. Whitaker (Manager),Regina Joy Frame (Credentialing Coordinator),Lisa B. Ham (Certified Public Accountant),...

Augustine Health Group, LLC

1655 Bernardin Ave, Columbia, SC 29204

Industry:
Health/Allied Services
Manager, Physician Network Manager, Principals:
Angela Haithcock Credentialing Coordinator, Credetialing Coordinator, Project Manager, inactive,Jeremy W. Whitaker Manager, Physician Network Manager, Principal, inactive

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