Organization
BEAUFORT REGIONAL PHYSICIANS, LLC
Active
Other names
WASHINGTON UROLOGICAL ASSOCIATES
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN S GERARD (PHYSICIAN PRACTICE ADMINISTRATOR)
(252) 975-4203
Entity
Organization
Contact information
Practice address
1202 BROWN ST, WASHINGTON, NC 27889-4671
(252) 946-0136
(252) 946-0189
Mailing address
1202 BROWN ST, WASHINGTON, NC 27889-4671
(252) 946-0136
(252) 946-0189
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
022T2
BLUE CROSS BLUE SHIELD
NC
05
—
5906189
—
NC
Enumeration date
03/06/2007
Last updated
01/21/2011
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