Organization
GEORGETOWN PHYSICIAN ASSOCIATES, LLC
Active
Other names
Tidelands Health Urology
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH SUTHERLAND WARD (CHIEF FINANCIAL OFFICER)
(843) 527-7102
Entity
Organization
Contact information
Practice address
4040 HIGHWAY 17 UNIT 205, MURRELLS INLET, SC 29576-5098
(843) 652-8475
(843) 652-8476
Mailing address
PO BOX 421718, GEORGETOWN, SC 29442-4203
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
01/31/2024
Last updated
03/25/2024
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