Organization
BEAUFORT REGIONAL PHYSICIANS, LLC
Active
Other names
INNER BANKS URGENT CARE
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN S GERARD (PHYSICIAN PRACTICE ADMINISTRATOR)
(252) 975-4203
Entity
Organization
Contact information
Practice address
608 E 12TH ST, WASHINGTON, NC 27889-3409
(252) 948-3200
(252) 948-3202
Mailing address
608 E 12TH ST, WASHINGTON, NC 27889-3409
(252) 948-3200
(252) 948-3202
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
022TW
BLUE CROSS BLUE SHIELD
NC
05
—
5905985
—
NC
Enumeration date
03/01/2007
Last updated
01/21/2011
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