Organization
BEAUFORT JASPER HAMPTON COMPREHENSIVE HEALTH SERVICES, INC
Active
Other names
Port Royal OB/GYN
Organization subpart
No
Provider details
NPI number
Authorized official
ROLAND J GARDNER (CHIEF EXECUTIVE OFFICER)
(843) 987-7400
Entity
Organization
Contact information
Practice address
1264 RIBAUT RD STE 200, BEAUFORT, SC 29902-6127
(843) 987-7400
Mailing address
PO BOX 357, RIDGELAND, SC 29936-2605
(843) 987-7400
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
—
—
261QF0050X
Non-Surgical Family Planning Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
02/08/2022
Last updated
02/15/2022
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