| NPI | 1801035456 |
|---|---|
| Other Name | BEAUFORT MEMORIAL SEA ISLAND PSYCHIATRY |
| Entity Type | Organization |
| Authorized Contact | EDMOND RUSSELL BAXLEY CEO 843-522-5140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2009-02-05 |
| Last Update Date | 2019-11-06 |