Organization
SEASIDE FAMILY PRACTICE OF BEAUFORT, INC.
Active
Other names
Seaside Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
SHERRY O KENT FNP (PRESIDENT)
(252) 728-2328
Entity
Organization
Contact information
Practice address
407 LIVE OAK ST, BEAUFORT, NC 28516-1939
(252) 728-2328
(252) 728-2628
Mailing address
407 LIVE OAK ST, BEAUFORT, NC 28516-1939
(252) 728-2328
(252) 728-2628
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2807373B
MEDICARE
—
05
—
7004408
—
NC
Enumeration date
10/25/2007
Last updated
04/22/2008
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