| Beaufort Family Care Llc | |
|
10a Marshellen Dr Beaufort SC 29902-6900 | |
| (843) 525-9015 | |
| (843) 525-9020 |
| Full Name | Beaufort Family Care Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 10a Marshellen Dr, Beaufort, South Carolina |
| Authorized Official Name and Position | Daniel C Ripley (OWNER) |
| Authorized Official Contact | 8435259015 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Beaufort Family Care Llc 10a Marshellen Dr Beaufort SC 29902-6900 Ph: (843) 525-9015 | Beaufort Family Care Llc 10a Marshellen Dr Beaufort SC 29902-6900 Ph: (843) 525-9015 |
| NPI Number | 1154333607 |
|---|---|
| Provider Enumeration Date | 08/13/2006 |
| Last Update Date | 06/21/2018 |
| Medicare PECOS PAC ID | 6507894342 |
|---|---|
| Medicare Enrollment ID | O20050802000585 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154333607 | NPI | - | NPPES |
| GP4165 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 18951 (South Carolina) | Primary |
| Provider Name | Daniel C Ripley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700876893 PECOS PAC ID: 7113973264 Enrollment ID: I20050322001115 |
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