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Organization

DRS A MASON AHEARN & WRIGHT G SKINNER III

Active
Other names
BAY ORTHOPEDIC ASSOCIATION LLC
Organization subpart
No

Provider details

NPI number
Authorized official
GINI A MCCURDY (ADMINISTRATOR)
(843) 527-4447
Entity
Organization

Contact information

Practice address
1001 N FRASER ST, GEORGETOWN, SC 29440-2848
(843) 527-4447
(843) 527-6423
Mailing address
PO BOX 1777, GEORGETOWN, SC 29442-1777
(843) 527-4447
(843) 527-6423

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
AN56
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1255317624
NPI
SC
01
1447236815
NPI
SC
01
200042355
RAILROAD PROVIDER NUMBER
SC
01
200042667
RAILROAD PROVIDER NUMBER
SC
01
DM0379
MEDICAID DMERC
SC
Enumeration date
12/20/2005
Last updated
07/29/2008
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