Family Medicine
AUGUSTINE HEALTH GROUP, LLC
Identity confirmed via CMS NPPES · September 29, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1790114197 · enumerated 2013-11-06 · record updated 2013-11-06. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: KELLY MOWRER, Credentialing Specialist · (216) 472-2741
Other names: PROVIDENCE FAMILY MEDICINE DUTCHFORK
Addresses and phones
- Mailing address PO BOX 601964, CHARLOTTE, NC, 28260-1964 (855) 477-2477 Fax (216) 472-2740 Google Maps Apple Maps OpenStreetMap
- Practice location 110 DUTCHMAN BLVD, IRMO, SC, 29063-8330 (803) 732-8370 Fax (803) 732-8373 Google Maps Apple Maps OpenStreetMap
Specialties
- Family Medicine 207Q00000X · Primary
In this directory
Locations and evidence
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Practice location
IRMO, SC, 290638330
Accepting new patientsNot reportedCMS NPPES · September 29, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.