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Beaufort Pediatrics, P.A.

Pediatrics, Adolescent Medicine in Beaufort, SC. Organization (NPI-2).

NPI number1467413641
StatusActive
Last updated in NPPESNov 11, 2024

Details

NPI
1467413641
Entity type
Organization (NPI-2)
Legal business name
Beaufort Pediatrics, P.A.
Organization subpart
No
Enumeration date
Mar 29, 2006
Certification date
Nov 11, 2024
Last updated
Nov 11, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2080A0000X Pediatrics, Adolescent Medicine––Yes

Practice location

964 Ribaut Rd
Beaufort, SC 29902-5429

Phone 843-524-5437 · Fax 843-524-0425

Mailing address

964 Ribaut Rd
Beaufort, SC 29902-5429

Phone 843-524-5437 · Fax 843-524-0425

Authorized official

Joseph H Floyd
Preisdent
8435245437

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