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Organization

ADVANCED MEDICAL ASSOCIATES OF BEAUFORT, PC

Active
Other names
Advanced Health Center
Organization subpart
No

Provider details

NPI number
Authorized official
GREGORY P LONSCAK D.C. (EXECUTIVE DIRECTOR)
(843) 986-9292
Entity
Organization

Contact information

Practice address
860 PARRIS ISLAND GTWY, SUITE B-2, BEAUFORT, SC 29906-6921
(843) 986-9292
(843) 524-9294
Mailing address
860 PARRIS ISLAND GTWY, SUITE B2, BEAUFORT, SC 29906-6921
(843) 986-9292
(843) 524-9294

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
2493
SC
207Y00000X
Otolaryngology Physician
11027
SC
208600000X
Surgery Physician
Primary
11027
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GCH517
SC
Enumeration date
03/15/2006
Last updated
01/22/2013
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