# BEAUFORT INTERNAL MEDICINE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891401147
- **Authorized official:** RANDY S KINNARD MD (PHYSICIAN/OWNER)
- **Authorized official phone:** (843) 379-9025

## Contact information

- **Practice address:** 10A MARSHELLEN DR, BEAUFORT, SC 29902-6900
- **Practice address phone:** (843) 379-9025
- **Practice address fax:** (843) 525-9020
- **Mailing address:** 10A MARSHELLEN DR, BEAUFORT, SC 29902-6900
- **Mailing address phone:** (843) 379-9025
- **Mailing address fax:** (843) 525-9020

## Taxonomy

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

## Other

- **Enumeration date:** 01/30/2023
- **Last updated:** 01/30/2023