# CAPE LOOKOUT MEDICAL SERV

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Beaufort Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780760777
- **Authorized official:** PETER KUERS M.D. (PRESIDENT)
- **Authorized official phone:** (252) 728-5003

## Contact information

- **Practice address:** 106D PROFESSIONAL PARK DRIVE, BEAUFORT, NC 28516-2418
- **Practice address phone:** (252) 728-5003
- **Mailing address:** 106D PROFESSIONAL PARK DR, BEAUFORT, NC 28516-2464
- **Mailing address phone:** (252) 728-5003
- **Mailing address fax:** (252) 728-3841

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/31/2006
- **Last updated:** 02/04/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 015FE | BCBS | NC |
| 05 | — | 89015FE | — | NC |
