Organization
BEAUFORT COUNTY MEMORIAL HOSPITAL
Active
Other names
BEAUFORT MEMORIAL SEA ISLAND PSYCHIATRY
Organization subpart
No
Provider details
NPI number
Authorized official
MISS EDMOND RUSSELL BAXLEY III (CEO)
(843) 522-5140
Entity
Organization
Contact information
Practice address
989 RIBAUT RD, SUITE 240, BEAUFORT, SC 29902-5472
(843) 522-5600
(843) 522-7625
Mailing address
989 RIBAUT RD, SUITE 260, BEAUFORT, SC 29902-5472
(843) 522-5600
(843) 522-7625
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
400676
—
SC
Enumeration date
02/05/2009
Last updated
11/06/2019
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