Individual
MOTAZ BAIBARS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
606 BLACK RIVER RD, GEORGETOWN, SC 29440-3304
(843) 527-7000
(843) 520-8403
Mailing address
PO BOX 421718, GEORGETOWN, SC 29442-4203
(843) 527-7000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01081857A
IN
207R00000X
Internal Medicine Physician
261992
MA
207R00000X
Internal Medicine Physician
50173
KY
207R00000X
Internal Medicine Physician
D72494
MD
208M00000X
Hospitalist Physician
1790
WI
Other
Enumeration date
01/21/2011
Last updated
03/23/2026
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