Organization
WACCAMAW COMMUNITY CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BROOKE COX GASKINS (DIRECTOR;GEORGETOWN PHYSICIAN SERVI)
(843) 520-8441
Entity
Organization
Contact information
Practice address
4301 DICK POND RD, MYRTLE BEACH, SC 29588-6807
(843) 652-8100
(843) 652-8122
Mailing address
4301 DICK POND RD, MYRTLE BEACH, SC 29588-6807
(843) 652-8100
(843) 652-8122
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/25/2009
Last updated
11/18/2010
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