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 |