# GEORGETOWN GASTROENTEROLOGY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Waccamaw Gastroenterology, PC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619283306
- **Authorized official:** KENTON HUNGERPILLER (BUSINESS MANAGER)
- **Authorized official phone:** (843) 652-8221

## Contact information

- **Practice address:** 1011 N FRASER ST, GEORGETOWN, SC 29440-2848
- **Practice address phone:** (843) 527-3428
- **Practice address fax:** (843) 546-8216
- **Mailing address:** PO BOX 1209, MURRELLS INLET, SC 29576-1209
- **Mailing address phone:** (843) 652-8220
- **Mailing address fax:** (843) 527-7080

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RG0100X | Gastroenterology Physician | — | NULL | Yes |
| 207RG0100X | Gastroenterology Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/19/2010
- **Last updated:** 06/02/2015