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Organization
BEAUFORT FAMILY MEDICINE, PA
Active
Organization
BEAUFORT FAMILY MEDICINE, PA
Active
Other names
Beaufort Family Practice, PA
Organization subpart
No
Provider details
NPI number
Authorized official
HENRY LUCIUS LAFFITTE JR. MD (PHYSICIAN)
(843) 524-3344
Entity
Organization
Contact information
Practice address
974 RIBAUT RD, BEAUFORT, SC 29902-5486
(843) 524-3344
(843) 524-5574
Mailing address
974 RIBAUT RD, BEAUFORT, SC 29902-5486
(843) 524-3344
(843) 524-5574
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP0057
—
SC
Enumeration date
11/04/2005
Last updated
08/22/2020
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