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Organization
DRS A MASON AHEARN & WRIGHT G SKINNER III
Active
Organization
DRS A MASON AHEARN & WRIGHT G SKINNER III
Active
Other names
BAY ORTHOPEDIC ASSOCIATION LLC
Organization subpart
No
Provider details
NPI number
Authorized official
GINI A MCCURDY (ADMINISTRATOR)
(843) 527-4447
Entity
Organization
Contact information
Practice address
1001 N FRASER ST, GEORGETOWN, SC 29440-2848
(843) 527-4447
(843) 527-6423
Mailing address
PO BOX 1777, GEORGETOWN, SC 29442-1777
(843) 527-4447
(843) 527-6423
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
AN56
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1255317624
NPI
SC
01
—
1447236815
NPI
SC
01
—
200042355
RAILROAD PROVIDER NUMBER
SC
01
—
200042667
RAILROAD PROVIDER NUMBER
SC
01
—
DM0379
MEDICAID DMERC
SC
Enumeration date
12/20/2005
Last updated
07/29/2008
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