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Organization
GEORGETOWN PHYSICIAN ASSOCIATES, LLC
Active
Organization
GEORGETOWN PHYSICIAN ASSOCIATES, LLC
Active
Parent organization
TIDELANDS HEMINGWAY MEDICAL CENTER
Other names
Tidelands Health Family Medicine
Organization subpart
Yes
Provider details
NPI number
Legal business name
TIDELANDS HEMINGWAY MEDICAL CENTER
Authorized official
ELIZABETH WARD (EVP & CFO)
(843) 527-7102
Entity
Organization
Contact information
Practice address
1075 N FRASER ST, GEORGETOWN, SC 29440-2848
(843) 546-5128
(843) 527-4027
Mailing address
PO BOX 421718, GEORGETOWN, SC 29442-4203
(843) 520-8330
(843) 652-8422
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP6558 G'TOWN
—
SC
05
—
GP6616 ANDREWS
—
SC
05
—
GP6617 HEMINGWAY
—
SC
Enumeration date
11/21/2005
Last updated
06/15/2020
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