Organization
WINYAH SURGICAL SPECIALISTS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY M. HARRELSON (ADMINISTRATOR)
(843) 545-8850
Entity
Organization
Contact information
Practice address
14490 OCEAN HWY, PAWLEYS ISLAND, SC 29585-9998
(843) 545-8850
(843) 545-5081
Mailing address
PO BOX 1000, GEORGETOWN, SC 29442-9998
(843) 545-8850
(843) 545-5081
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP2686
—
SC
Enumeration date
01/25/2007
Last updated
06/13/2014
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