Organization
GEORGETOWN PHYSICIAN ASSOCIATES, LLC
Active
Other names
Tidelands Health Pediatrics and Adult Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH SUTHERLAND WARD (CHIEF FINANCIAL OFFICER (CFO)/EVP)
(843) 527-7102
Entity
Organization
Contact information
Practice address
64 BUSINESS CENTER DR, PAWLEYS ISLAND, SC 29585-7963
(843) 314-1314
(843) 314-1308
Mailing address
PO BOX 421718, GEORGETOWN, SC 29442-4203
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/21/2024
Last updated
06/21/2024
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