Healthcare Provider Details

I. General information

NPI: 1881502060
Provider Name (Legal Business Name): BEAUFORT ORTHOPAEDIC SPORTS AND SPINE CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4810 BLUFFTON PKWY STE 102
BLUFFTON SC
29910-4602
US

IV. Provider business mailing address

4810 BLUFFTON PKWY STE 102
BLUFFTON SC
29910-4602
US

V. Phone/Fax

Practice location:
  • Phone: 843-837-5236
  • Fax: 843-837-1004
Mailing address:
  • Phone: 843-837-5236
  • Fax: 843-837-1004

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State

VIII. Authorized Official

Name: STEPHANIE GRIGGS
Title or Position: PRACTICE MANAGER
Credential:
Phone: 843-525-0902