Organization
BEAUFORT REGIONAL PHYSICIANS, LLC
Active
Other names
WASHINGTON FAMILY MEDICINE CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN S GERARD (PHYSICIAN PRACTICE ADMINISTRATOR)
(252) 975-4203
Entity
Organization
Contact information
Practice address
501 W 15TH ST, WASHINGTON, NC 27889-3565
(252) 975-2667
(252) 975-2507
Mailing address
501 W 15TH ST, WASHINGTON, NC 27889-3565
(252) 975-2667
(252) 975-2507
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
022TU
BLUE CROSS BLUE SHIELD
NC
05
—
5950575
—
NC
Enumeration date
01/22/2009
Last updated
01/21/2011
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