Organization
BEAUFORT COUNTY MEMORIAL HOSPITAL
Active
Other names
Beaufort Memorial Radiation Oncology
Organization subpart
No
Provider details
NPI number
Authorized official
EDMOND RUSSELL BAXLEY III (CEO)
(843) 522-5140
Entity
Organization
Contact information
Practice address
989 RIBAUT RD STE 130, BEAUFORT, SC 29902
(843) 522-7800
(843) 522-7800
Mailing address
955 RIBAUT RD, BMAC CREDENTIALING, BEAUFORT, SC 29902-5441
(843) 522-5785
(843) 522-5678
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP8977
—
SC
Enumeration date
01/02/2009
Last updated
06/04/2020
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