Organization
BEAUFORT DERMATOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL C BREWER MD (OWNER)
(843) 524-5550
Entity
Organization
Contact information
Practice address
1096 RIBAUT ROAD, BEAUFORT, SC 29902
(843) 524-5550
(842) 524-6798
Mailing address
1096 RIBAUT ROAD, BEAUFORT, SC 29902
(843) 524-5550
(842) 524-6798
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
17632
SC
207NP0225X
Pediatric Dermatology Physician
17636
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6P1193
—
SC
Enumeration date
05/17/2007
Last updated
10/09/2007
Update your record
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