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Organization
GEORGETOWN PHYSICIAN ASSOCIATES, LLC
Active
Organization
GEORGETOWN PHYSICIAN ASSOCIATES, LLC
Active
Other names
Tidelands Health Urology
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH SUTHERLAND WARD (CHIEF FINANCIAL OFFICER)
(843) 527-7102
Entity
Organization
Contact information
Practice address
4040 HIGHWAY 17 UNIT 205, MURRELLS INLET, SC 29576-5098
(843) 652-8475
(843) 652-8476
Mailing address
PO BOX 421718, GEORGETOWN, SC 29442-4203
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
NULL
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
01/31/2024
Last updated
03/25/2024
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