Organization
BEACH MEDICAL SPECIALISTS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAJAN GUPTA MD (PRESIDENT)
(843) 347-8887
Entity
Organization
Contact information
Practice address
241 SINGLETON RIDGE ROAD, SUITE A BEACH MEDICAL SPECIALISTS PA, CONWAY, SC 29526
(843) 347-8887
(843) 347-8889
Mailing address
241 SINGLETON RIDGE ROAD, SUITE A, CONWAY, SC 29526
(843) 347-8887
(843) 347-8889
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
18480
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP1451
—
SC
Enumeration date
08/07/2006
Last updated
08/22/2020
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