Organization
BEAUFORT FAMILY MEDICINE, PA
Active
Other names
Beaufort Family Practice, PA
Organization subpart
No
Provider details
NPI number
Authorized official
HENRY LUCIUS LAFFITTE JR. MD (PHYSICIAN)
(843) 524-3344
Entity
Organization
Contact information
Practice address
974 RIBAUT RD, BEAUFORT, SC 29902-5486
(843) 524-3344
(843) 524-5574
Mailing address
974 RIBAUT RD, BEAUFORT, SC 29902-5486
(843) 524-3344
(843) 524-5574
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP0057
—
SC
Enumeration date
11/04/2005
Last updated
08/22/2020
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