Organization
ACS EMERGENCY PHYSICIANS OF SC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDAL L. DABBS MD (PRESIDENT)
(865) 293-5210
Entity
Organization
Contact information
Practice address
955 RIBAUT RD, BEAUFORT, SC 29902-5441
(843) 522-5200
Mailing address
14050 NW 14TH ST STE 190, SUNRISE, FL 33323-2851
(800) 424-3672
(954) 377-3042
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP6079
—
SC
Enumeration date
11/09/2009
Last updated
07/15/2019
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