# GEORGETOWN MEMORIAL HOSPITAL

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Tidelands Health Pediatric Rehabilitation Services at Myrtle Beach
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548457534
- **Authorized official:** ELIZABETH WARD (EXECUTIVE VICE PRESIDENT/CFO)
- **Authorized official phone:** (843) 527-7102

## Contact information

- **Practice address:** 3515 CADUCEUS DR, SUITE A, MYRTLE BEACH, SC 29588-2922
- **Practice address phone:** (843) 293-7085
- **Mailing address:** PO BOX 421718, GEORGETOWN, SC 29442-4203
- **Mailing address phone:** (843) 293-7085

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/03/2007
- **Last updated:** 03/21/2019