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Organization

BEAUFORT REGIONAL PHYSICIANS, LLC

Active
Other names
SEABOARD SURGICAL ASSOCIATES
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
615 E 12TH ST, WASHINGTON, NC 27889-3408
(252) 946-0181
(252) 946-7774
Mailing address
615 E 12TH ST, WASHINGTON, NC 27889-3408
(252) 946-0181
(252) 946-7774

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
022T5
BLUE CROSS BLUE SHIELD
NC
05
8902634
NC
Enumeration date
05/17/2006
Last updated
01/21/2011
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