Beaufort Dermatology Pc

LBN: Beaufort Dermatology Pc
Beaufort Dermatology Pc is an health care organization with primary practice located at 1096 Ribaut Road , Beaufort SC 29902. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Pediatric Dermatology. Allopathic & Osteopathic Physicians / Dermatology is the primary health care specialty. Beaufort Dermatology Pc can be contacted via phone (843) 524-5550, or through Brewer, Paul C via phone (843) 524-5550.

Contact Information

Primary practice address
1096 Ribaut Road Beaufort SC 29902
Phone: (843) 524-5550
Fax: (842) 524-6798
Website:
Map and Directions
Authorized official contact:
Name: Brewer, Paul C Doctor of Medicine (MD)
Phone: (843) 524-5550

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 17632 South Carolina
Allopathic & Osteopathic Physicians / Pediatric Dermatology 207NP0225X 17636 South Carolina

Profile Details

NPI number 1821205097
LBN Legal business name Beaufort Dermatology Pc
DBA Doing business as
Authorized official Brewer, Paul C Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 17th, 2007
Last updated Oct 9th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1821205097 NPPES
South Carolina MEDICAID 6P1193

Popular Providers