Basic Information
Provider Information
NPI: 1154302446
EntityType: 2
ReplacementNPI:  
OrganizationName: BESTPRACTICES OF SOUTH CAROLINA, PC
LastName:  
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Mailing Information
Address1: P.O. BOX 759087
Address2:  
City: BALTIMORE
State: MD
PostalCode: 212750001
CountryCode: US
TelephoneNumber: 8664343164
FaxNumber: 9043460113
Practice Location
Address1: 955 RIBAUT RD
Address2:  
City: BEAUFORT
State: SC
PostalCode: 299025441
CountryCode: US
TelephoneNumber: 8435225200
FaxNumber:  
Other Information
ProviderEnumerationDate: 11/14/2005
LastUpdateDate: 08/22/2020
NPIDeactivationReasonCode:  
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AuthorizedOfficialLastName: MAYER
AuthorizedOfficialFirstName: THOM
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AuthorizedOfficialTitleorPosition: PRESIDENT/OWNER
AuthorizedOfficialTelephone: 8664343164
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix: DR.
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential: MD
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207P00000X  Y193200000X MULTI-SPECIALTY GROUPAllopathic & Osteopathic PhysiciansEmergency Medicine 

No ID Information.


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