SEASIDE FAMILY PRACTICE OF BEAUFORT INC. NPI 1730368952

NPI Information

NPI: 1730368952
Provider Name: SEASIDE FAMILY PRACTICE OF BEAUFORT, INC.

Doing Business As: SEASIDE FAMILY PRACTICE

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
407 LIVE OAK ST
BEAUFORT, NC
ZIP 28516
Phone: (252) 728-2328
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SEASIDE FAMILY PRACTICE OF BEAUFORT, INC. is a primary care clinic center in Beaufort, NC. SEASIDE FAMILY PRACTICE OF BEAUFORT, INC. NPI is 1730368952. The provider is registered as an organization entity type.
The provider Is Doing Business As Seaside Family Practice.

The provider's business location address is:

407 LIVE OAK ST
BEAUFORT, NC
ZIP 28516-939
Phone: (252) 728-2328
Fax: (252) 728-2628

The provider's authorized official is Sherry O Kent .
The authorized official title is President and has the following contact phone number (252) 728-2328.

The CLIA number assigned to this NPI record is 34D1074947 - practitioner other with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 10/25/2007 and was last updated on 4/22/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	7004408	MEDICAID	NORTH CAROLINA
2	2807373B	OTHER		MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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