Organization
BEAUFORT REGIONAL PHYSICIANS,LLC
Active
Other names
BIRDSONG ORTHOPEDIC GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN S GERARD (CEO)
(252) 975-4203
Entity
Organization
Contact information
Practice address
1207 HIGHLAND DR, WASHINGTON, NC 27889-3405
(252) 946-6515
Mailing address
1207 HIGHLAND DR, WASHINGTON, NC 27889-3405
(252) 946-6515
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
022TT
BLUE CROSS BLUE SHIELD NC
NC
05
—
5906093
—
NC
Enumeration date
12/13/2006
Last updated
01/19/2011
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