Organization
BEAUFORT COUNTY MEMORIAL HOSPTIAL
Active
Other names
BEAUFORT MEMORIAL SURGICAL SPECIALISTS WCC
Organization subpart
No
Provider details
NPI number
Authorized official
EDMOND RUSSELL BAXLEY III (CEO)
(843) 522-5140
Entity
Organization
Contact information
Practice address
989 RIBAUT RD, SUITE 220, BEAUFORT, SC 29902-5472
(843) 522-5742
Mailing address
1055 RIBAUT RD, SUITE 30, BEAUFORT, SC 29902-5423
(843) 522-5742
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
05/13/2009
Last updated
03/10/2020
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