| Beaufort Memorial Lowcountry Medical Group | |
|
Beaufort Memorial Lowcountry Medical Group 300 Midtown Beaufort SC 29906-5200 | |
| (843) 770-0404 | |
| (844) 296-2308 |
| Full Name | Beaufort Memorial Lowcountry Medical Group |
|---|---|
| Speciality | General Practice |
| Location | Beaufort Memorial Lowcountry Medical Group, Beaufort, South Carolina |
| Authorized Official Name and Position | Edmund 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 Lowcountry Medical Group 955 Ribaut Rd Bmac Credentialing Beaufort SC 29902-5441 Ph: (843) 522-7843 | Beaufort Memorial Lowcountry Medical Group Beaufort Memorial Lowcountry Medical Group 300 Midtown Beaufort SC 29906-5200 Ph: (843) 770-0404 |
| NPI Number | 1336180165 |
|---|---|
| Provider Enumeration Date | 06/10/2006 |
| Last Update Date | 12/18/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336180165 | NPI | - | NPPES |
| 270920 | Medicaid | SC | |
| 101376 | Medicaid | SC | |
| 3257 | Other | MEDICARE ID-TYPE UNSPECIFIED MEDICARE PART B | |
| GP6561 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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 |