NPI | 1336180165 |
---|---|
Other Name | BEAUFORT MEMORIAL LOWCOUNTRY MEDICAL GROUP |
Entity Type | Organization |
Authorized Contact | EDMUND RUSSELL BAXLEY CEO 843-522-5140 |
Organization Subpart ? | Yes |
Primary Taxonomy | 208D00000X General Practice |
Additional Taxonomies | 208800000X Urology |
Enumeration Date | 2006-06-10 |
Last Update Date | 2024-07-09 |