Organization
GEORGETOWN PHYSICIAN ASSOCIATES, LLC
Active
Other names
Tidelands Health Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH SUTHERLAND WARD (EVP & CFO)
(843) 527-7102
Entity
Organization
Contact information
Practice address
4320 HOLMESTOWN RD STE B, MYRTLE BEACH, SC 29588-7837
(843) 652-8440
(843) 652-8441
Mailing address
PO BOX 421718, GEORGETOWN, SC 29442-4203
(843) 652-8440
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
08/15/2019
Last updated
05/01/2020
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