Organization
BEACH MEDICAL WEIGHT LOSS NORTH AUGUSTA SC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD ROGERS (OWNER)
(803) 426-8882
Entity
Organization
Contact information
Practice address
220 EDGEFIELD RD, NORTH AUGUSTA, SC 29841-1941
(803) 426-8882
(803) 426-8910
Mailing address
220 EDGEFIELD RD, NORTH AUGUSTA, SC 29841-1941
(803) 426-8882
(803) 426-8910
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
01/29/2019
Last updated
02/24/2021
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