Provider Demographics
NPI:1891004354
Name:BEAUFORT COUNTY ALLERGY
Entity Type:Organization
Organization Name:BEAUFORT COUNTY ALLERGY
Other - Org Name:ALLERGY & ASTHMA CENTER OF HILTON HEAD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:BELLER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:843-689-6442
Mailing Address - Street 1:PO BOX 22660
Mailing Address - Street 2:
Mailing Address - City:HILTON HEAD
Mailing Address - State:SC
Mailing Address - Zip Code:29925-2660
Mailing Address - Country:US
Mailing Address - Phone:843-689-6442
Mailing Address - Fax:843-689-6158
Practice Address - Street 1:300 NEW RIVER PKWY
Practice Address - Street 2:BLDG. 6, SUITE 11
Practice Address - City:HARDEEVILLE
Practice Address - State:SC
Practice Address - Zip Code:29927-4450
Practice Address - Country:US
Practice Address - Phone:843-689-6442
Practice Address - Fax:843-689-6158
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-01
Last Update Date:2010-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332900000XSuppliersNon-Pharmacy Dispensing Site