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Organization

GEORGETOWN HEALTH GROUP

Active
Other names
Andrews Medical Center
Organization subpart
No

Provider details

NPI number
Authorized official
SUE R. STARK (CO-ADMINISTRATOR)
(843) 527-4442
Entity
Organization

Contact information

Practice address
701 S MORGAN AVE, ANDREWS, SC 29510-2959
(843) 264-5253
Mailing address
1075 N FRASER ST, GEORGETOWN, SC 29440-2848
(843) 527-4442
(843) 527-4027

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GP1366
SC
Enumeration date
11/15/2007
Last updated
11/19/2007
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