Organization
BEAUFORT OPEN MRI, LLC
Active
Organization
BEAUFORT OPEN MRI, LLC
Active
Other names
Coastal MRI
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL MAZZEO M.D. (NEUROLOGIST)
(843) 522-1420
Entity
Organization
Contact information
Practice address
1319 LADYS ISLAND DR, PORT ROYAL, SC 29935-1153
(843) 524-6736
(843) 524-1386
Mailing address
1319 LADYS ISLAND DR, PORT ROYAL, SC 29935-1153
(843) 524-6736
(843) 524-1386
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
14702
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SL0059
—
SC
Enumeration date
04/12/2006
Last updated
02/06/2012
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