Organization · Type 2 NPI

Beaufort County Memorial Hospital

Gastroenterology Physician · Port Royal, SC

NPI number 1235430745 Active

Practice location

1716 Ribaut Rd
Port Royal, SC 29935-1927

Fax (843) 522-7889

Specialties and licenses

Taxonomy	Code	License
Gastroenterology Physician Primary	207RG0100X	31544 (SC)

Gastroenterology Physician: An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

NPI record

NPI: 1235430745
Entity type: Organization (Type 2)
Issued: Nov 15, 2010
Last updated: Nov 6, 2019
Status: Active
Subpart: Yes of Beaufort County Memorial Hospital

Other names

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Beaufort Memorial Center for Digestive Diseases · other name
Beaufort Memorial Center for Digestive Diseases · other name

Authorized official

Mr. Edmond Russell Baxley
CEO
(843) 522-5140

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1235430745

Beaufort County Memorial Hospital's National Provider Identifier is 1235430745, issued on Nov 15, 2010. The primary taxonomy on file is Gastroenterology Physician (207RG0100X), and the practice location is in Port Royal, SC. The record was last updated on Nov 6, 2019.