| Beaufort Memorial Sea Island Psychiatry | |
|
989 Ribaut Rd Suite 240 Beaufort SC 29902-5472 | |
| (843) 522-5600 | |
| (843) 522-7625 |
| Full Name | Beaufort Memorial Sea Island Psychiatry |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 989 Ribaut Rd, Beaufort, South Carolina |
| Authorized Official Name and Position | Edmond Russell Baxley (CEO) |
| Authorized Official Contact | 8435225140 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beaufort Memorial Sea Island Psychiatry 989 Ribaut Rd Suite 260 Beaufort SC 29902-5472 Ph: (843) 522-5600 | Beaufort Memorial Sea Island Psychiatry 989 Ribaut Rd Suite 240 Beaufort SC 29902-5472 Ph: (843) 522-5600 |
| NPI Number | 1801035456 |
|---|---|
| Provider Enumeration Date | 02/05/2009 |
| Last Update Date | 11/06/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801035456 | NPI | - | NPPES |
| 400676 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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