Organization
BEAUFORT REGIONAL PHYSICIANS, LLC
Active
Other names
Ob Gyn of Washington
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN S GERARD (PHYSICIAN PRACTICE ADMINISTRATOR)
(252) 975-4203
Entity
Organization
Contact information
Practice address
1210 BROWN ST, WASHINGTON, NC 27889-4671
(252) 975-1188
(252) 975-3800
Mailing address
1210 BROWN ST, WASHINGTON, NC 27889-4671
(252) 975-1188
(252) 975-3800
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
022T1
BLUE CROSS BLUE SHIELD
NC
05
—
5906095
—
NC
Enumeration date
01/03/2007
Last updated
01/21/2011
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