Beaufort Internal Medicine Llc | |
10a Marshellen Dr Beaufort SC 29902-6900 | |
(843) 379-9025 | |
(843) 525-9020 |
Full Name | Beaufort Internal Medicine Llc |
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Speciality | Internal Medicine |
Location | 10a Marshellen Dr, Beaufort, South Carolina |
Authorized Official Name and Position | Randy S Kinnard (PHYSICIAN/OWNER) |
Authorized Official Contact | 8433799025 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Beaufort Internal Medicine Llc 10a Marshellen Dr Beaufort SC 29902-6900 Ph: (843) 379-9025 | Beaufort Internal Medicine Llc 10a Marshellen Dr Beaufort SC 29902-6900 Ph: (843) 379-9025 |
NPI Number | 1891401147 |
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Provider Enumeration Date | 01/30/2023 |
Last Update Date | 01/30/2023 |
Medicare PECOS PAC ID | 9739544339 |
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Medicare Enrollment ID | O20230504001260 |
Identifier | Type | State | Issuer |
---|---|---|---|
1891401147 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Randy S Kinnard |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1407084916 PECOS PAC ID: 8123215274 Enrollment ID: I20220426000186 |
Coastal Caremd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 974 Ribaut Rd, Beaufort, SC 29902 Phone: 843-524-3344 Fax: 843-524-5574 | |
Beaufort County Memorial Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: Beaufort Memorial Preoperative Assessment Clinic, 989 Ribaut Road Suite 370, Beaufort, SC 29902 Phone: 843-522-5775 Fax: 843-522-5945 | |
Beaufort Family Care Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10a Marshellen Dr, Beaufort, SC 29902 Phone: 843-525-9015 Fax: 843-525-9020 | |
United States Marine Corps, United States Navy Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Pinckney Blvd, Beaufort, SC 29902 Phone: 843-228-2602 | |
Good Neighbor Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 30 Professional Village Cir, Beaufort, SC 29907 Phone: 843-470-9088 Fax: 843-470-0299 | |
Primary & Specialty Care For Assisted Living & Independent Living Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14 Wrights Point Cir, Beaufort, SC 29902 Phone: 404-274-3291 | |
Senior Health Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 335 Pleasant Point Dr, Beaufort, SC 29907 Phone: 803-757-1173 |