Individual
MR. GARY ROBERT BEAUMONT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3000 SAINT MATTHEWS RD, ORANGEBURG, SC 29118-1442
(803) 395-2200
Mailing address
PO BOX 1245, ORANGEBURG, SC 29116-1245
(803) 395-4497
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
123746
NC
367500000X
Certified Registered Nurse Anesthetist
123746
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
4072
SC
367500000X
Certified Registered Nurse Anesthetist
6045A
KY
367500000X
Certified Registered Nurse Anesthetist
77137
WV
367500000X
Certified Registered Nurse Anesthetist
APN10192
TN
367500000X
Certified Registered Nurse Anesthetist
RN605111
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000685047
BLUE CROSS/BLUE SHIELD
KY
01
—
4274202
BLUE CROSS/BLUE SHIELD
TN
05
—
74400805
—
KY
05
—
GP2825
—
SC
Enumeration date
07/11/2005
Last updated
04/27/2011
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