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Organization

GEORGETOWN PHYSICIAN ASSOCIATES, LLC

Active
Other names
Tidelands Health Family Medicine
Organization subpart
No

Provider details

NPI number
Authorized official
ELIZABETH SUTHERLAND WARD (EVP & CFO)
(843) 527-7102
Entity
Organization

Contact information

Practice address
2347 S HIGHWAY 17, MURRELLS INLET, SC 29576-7611
(843) 357-2443
(843) 357-2132
Mailing address
PO BOX 421718, GEORGETOWN, SC 29442-4203
(843) 520-8883
(843) 652-8422

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GP6126
SC
Enumeration date
12/27/2012
Last updated
05/01/2020
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