Healthcare Provider Details

I. General information

NPI: 1003960824
Provider Name (Legal Business Name): NHC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/22/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 AUSTIN GRAYBILL RD
NORTH AUGUSTA SC
29860-9251
US

IV. Provider business mailing address

101 WALDEN HILLS CIR
AUGUSTA GA
30909-0229
US

V. Phone/Fax

Practice location:
  • Phone: 803-278-4272
  • Fax: 803-278-1794
Mailing address:
  • Phone: 229-506-0777
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number4084
License Number StateSC

VIII. Authorized Official

Name: MS. MARY A. PATTON
Title or Position: SPEECH AND LANGUAGE PATHOLOGIST
Credential: M.S.ED
Phone: 229-506-0777