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Organization
GEORGETOWN PHYSICIAN ASSOCIATES, LLC
Active
Organization
GEORGETOWN PHYSICIAN ASSOCIATES, LLC
Active
Other names
Tidelands Health Pain Management Services
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH SUTHERLAND WARD (EVP & CFP)
(843) 527-7102
Entity
Organization
Contact information
Practice address
4040 HIGHWAY 17 UNIT 206, MURRELLS INLET, SC 29576-5098
(843) 652-8260
(843) 652-8269
Mailing address
PO BOX 421718, GEORGETOWN, SC 29442-4203
(843) 520-8883
(843) 652-8422
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
NULL
207L00000X
Anesthesiology Physician
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
SC
Other
Enumeration date
03/06/2015
Last updated
06/25/2020
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