# BEAUFORT COUNTY MEMORIAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BEAUFORT COUNTY MEMORIAL HOSPITAL
- **Other names:** Beaufort Memorial Center for Digestive Diseases
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1235430745
- **Legal business name:** BEAUFORT COUNTY MEMORIAL HOSPITAL
- **Authorized official:** MR. EDMOND RUSSELL BAXLEY III (CEO)
- **Authorized official phone:** (843) 522-5140

## Contact information

- **Practice address:** 1716 RIBAUT RD, PORT ROYAL, SC 29935-1927
- **Practice address phone:** (843) 522-7890
- **Practice address fax:** (843) 522-7889
- **Mailing address:** 1716 RIBAUT RD, PORT ROYAL, SC 29935-1927
- **Mailing address phone:** (843) 522-7890
- **Mailing address fax:** (843) 522-7889

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RG0100X | Gastroenterology Physician | 31544 | SC | Yes |

## Other

- **Enumeration date:** 11/15/2010
- **Last updated:** 11/06/2019