| NPI | 1447241740 |
|---|---|
| Former Legal Business Name | BEAUFORT FAMILY PRACTICE, PA |
| Entity Type | Organization |
| Authorized Contact | HENRY LUCIUS LAFFITTE Physician 843-524-3344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2005-11-04 |
| Last Update Date | 2020-08-22 |