# BEAUFORT COUNTY MEMORIAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BEAUFORT COUNTY MEMORIAL HOSPITAL
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1598713117
- **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:** BEAUFORT MEMORIAL PRIMARY CARE, 989 RIBAUT RD, STE 260, BEAUFORT, SC 29902-5499
- **Practice address phone:** (843) 522-7600
- **Practice address fax:** (844) 295-9674
- **Mailing address:** 955 RIBAUT RD, BMAC CREDENTIALING COORDINATOR, BEAUFORT, SC 29902-5441
- **Mailing address phone:** (843) 522-5790
- **Mailing address fax:** (843) 522-5945

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/05/2006
- **Last updated:** 05/30/2024