| 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 |