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Beaufort Regional Physicians, LLC

Organization Active NPI Internal Medicine Physician · Washington, NC

NPI 1811099112 · NPPES record last updated Jan 21, 2011

Key facts

NPI
1811099112
Entity type
Organization (NPI type 2)
Primary specialty
Internal Medicine Physician 207R00000X
Legal business name
BEAUFORT REGIONAL PHYSICIANS, LLC
Practice address
1380 Cowell Farm Rd
Washington, NC 27889-3431
Phone
(252) 946-2101
Fax
(252) 946-9896
NPI assigned
Sep 5, 2006
Organization subpart
No

Authorized official

Name
Mrs. Susan S Gerard
Title
Physician Practice Administrator
Phone
(252) 975-4203

National Provider Directory

Locations

1380 Cowell Farm Rd
Washington, NC 27889
Phone (252) 946-0900

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP		 207R00000X Yes

Addresses

Primary practice location

1380 Cowell Farm Rd
Washington, NC 27889-3431

Mailing address

1380 Cowell Farm Rd
Washington, NC 27889-3431
Phone (252) 946-2101

Other identifiers

IdentifierTypeStateIssuer
022T4OtherNCBLUE CROSS BLUE SHIELD
5906188MedicaidNC

Other names

  • PAMLICO INTERNAL MEDICINE ASSOCIATES Doing business as

Other providers in Washington, NC

All providers in Washington, NC · Internal Medicine Physician in North Carolina

Sources for this page

Verify at the official NPI Registry.