# GEORGETOWN PHYSICIAN SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** GEORGETOWN HOSPITAL SYSTEM
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1912186206
- **Legal business name:** GEORGETOWN HOSPITAL SYSTEM
- **Authorized official:** MR. BRUCE P BAILEY (CEO)
- **Authorized official phone:** (843) 527-7100

## Contact information

- **Practice address:** 606 BLACK RIVER RD, GEORGETOWN, SC 29440-3304
- **Practice address phone:** (843) 527-7100
- **Mailing address:** PO BOX 421718, GEORGETOWN, SC 29442-4203
- **Mailing address phone:** (843) 527-7100

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/02/2007
- **Last updated:** 11/02/2007