Organization
BEAUFORT ENT & ALLERGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH A BROWN M.D. (PART OWNER)
(843) 525-6622
Entity
Organization
Contact information
Practice address
1231 RIBAUT RD, BEAUFORT, SC 29902-6147
(843) 525-6622
Mailing address
1231 RIBAUT RD, BEAUFORT, SC 29902-6147
(843) 525-6622
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
003200
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1467455949
DON CHRISTIAN NPI
SC
01
—
1518130095
TRACY BRANDE M.S. NPI
SC
01
—
1699778076
KENNETH BROWNS NPI
SC
05
—
228621
—
SC
01
—
4625215
AETNA KENNETH A BROWN PIN
SC
01
—
7215359
AETNA GROUP PIN
SC
01
—
7326369
AETNA DON R CHRISTIAN PIN
SC
05
—
GP3955
—
SC
05
—
TL5955
—
SC
Enumeration date
05/03/2007
Last updated
06/10/2014
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