| NPI | 1720212129 |
|---|---|
| Other Name | BEAUFORT MEMORIAL SURGICAL SPECIALISTS WCC |
| Entity Type | Organization |
| Authorized Contact | EDMOND RUSSELL BAXLEY CEO 843-522-5140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Enumeration Date | 2009-05-13 |
| Last Update Date | 2020-03-10 |