Organization
BEAUFORT COUNTY MEMORIAL HOSPITAL
Active
Parent organization
BEAUFORT COUNTY MEMORIAL HOSPITAL
Other names
Beaufort Memorial Obstetrics & Gynecology Specialists
Organization subpart
Yes
Provider details
NPI number
Legal business name
BEAUFORT COUNTY MEMORIAL HOSPITAL
Authorized official
MR. EDMOND RUSSELL BAXLEY III (CEO)
(843) 522-5140
Entity
Organization
Contact information
Practice address
BEAUFORT MEMORIAL OBSTETRICS & GYNECOLOGY SPECIALISTS, 989 RIBAUT RD, STE 210, BEAUFORT, SC 29902-5472
(843) 522-7820
(844) 296-2295
Mailing address
955 RIBAUT RD, BMAC CREDENTIALING COORDINATOR, BEAUFORT, SC 29902-5441
(843) 522-5674
(843) 522-5678
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
36465
SC
Other
Enumeration date
02/04/2014
Last updated
06/18/2020
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