BEAUFORT PEDIATRICS P.A. NPI 1467413641

NPI Information

NPI: 1467413641
Provider Name: BEAUFORT PEDIATRICS, P.A.
Classification: Pediatrics - 2080A0000X
Entity Type: Organization

Specialization: Adolescent Medicine

Address:
964 RIBAUT RD
BEAUFORT, SC
ZIP 29902
Phone: (843) 524-5437
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BEAUFORT PEDIATRICS, P.A. is an adolescent medicine pediatrics in Beaufort, SC. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. BEAUFORT PEDIATRICS, P.A. NPI is 1467413641. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

964 RIBAUT RD
BEAUFORT, SC
ZIP 29902-429
Phone: (843) 524-5437
Fax: (843) 524-0425

The provider's authorized official is Joseph H Floyd .
The authorized official title is Preisdent and has the following contact phone number (843) 524-5437.

The enumeration date for this NPI number is 3/29/2006 and was last updated on 1/28/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2080A0000X	Pediatrics	Adolescent Medicine			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	RHC156	MEDICAID	SOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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