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1053376111
KURT RICHARD ELLENBERGER
BEAUFORT, SC
NPI
1053376111
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: SC 19453)
Enumeration Date
2006-04-19
Last Update Date
2019-05-08
Business Address
Dr. KURT RICHARD ELLENBERGER M.D.
BEAUFORT MEMORIAL EXPRESS CARE & OCCUPATIONAL HEALTH 974 RIBAUT RD
BEAUFORT, SC 29902
Phone number: 843-524-3344
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Mailing Address
Dr. KURT RICHARD ELLENBERGER M.D.
955 RIBAUT RD BMAC CREDENTIALING
BEAUFORT, SC 29902-5441
Phone number: 843-522-5674
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