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Organization
GEORGETOWN PHYSICIAN ASSOCIATES, LLC
Active
Organization
GEORGETOWN PHYSICIAN ASSOCIATES, LLC
Active
Other names
Tidelands Health Vascular Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH SUTHERLAND WARD (EVP & CFO)
(843) 527-7102
Entity
Organization
Contact information
Practice address
4040 HIGHWAY 17 UNIT 104, MURRELLS INLET, SC 29576-5098
(843) 652-8390
(843) 652-8325
Mailing address
PO BOX 421718, GEORGETOWN, SC 29442-4203
(843) 520-8883
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Enumeration date
08/05/2021
Last updated
08/19/2021
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