Healthcare Provider Details

I. General information

NPI: 1154302446
Provider Name (Legal Business Name): BESTPRACTICES OF SOUTH CAROLINA, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/14/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

955 RIBAUT RD
BEAUFORT SC
29902-5441
US

IV. Provider business mailing address

P.O. BOX 759087
BALTIMORE MD
21275-0001
US

V. Phone/Fax

Practice location:
  • Phone: 843-522-5200
  • Fax:
Mailing address:
  • Phone: 866-434-3164
  • Fax: 904-346-0113

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. THOM MAYER
Title or Position: PRESIDENT/OWNER
Credential: MD
Phone: 866-434-3164