Healthcare Provider Details

I. General information

NPI: 1679945034
Provider Name (Legal Business Name): MR. ALEXANDRU AGIU
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/26/2015
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

670 BOULEVARD DE FRANCE, MCRD PARRIS ISLAND
BEAUFORT SC
29910
US

IV. Provider business mailing address

56 ISLE OF PALMS E
BLUFFTON SC
29910-9508
US

V. Phone/Fax

Practice location:
  • Phone: 843-228-4237
  • Fax:
Mailing address:
  • Phone: 843-228-2279
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1710I1002X
TaxonomyIndependent Duty Corpsman
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: