Provider Demographics
NPI:1992075683
Name:AUGMENTATION, INC.
Entity type:Organization
Organization Name:AUGMENTATION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIVISION DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:PATTI
Authorized Official - Middle Name:HAYNES
Authorized Official - Last Name:HOLT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-870-1675
Mailing Address - Street 1:3415 INDEPENDENCE DR
Mailing Address - Street 2:SUITE 101
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35209-8314
Mailing Address - Country:US
Mailing Address - Phone:205-870-1675
Mailing Address - Fax:205-870-3808
Practice Address - Street 1:3415 INDEPENDENCE DR
Practice Address - Street 2:SUITE 101
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35209-8314
Practice Address - Country:US
Practice Address - Phone:205-870-1675
Practice Address - Fax:205-870-1675
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-11
Last Update Date:2012-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health