Organization
GEORGETOWN PHYSICIAN ASSOCIATES, LLC
Active
Other names
Tidelands Health Endocrinology
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH SUTHERLAND WARD (EVP & CFO)
(843) 527-7102
Entity
Organization
Contact information
Practice address
2200 CROW LN STE 301, MYRTLE BEACH, SC 29577-1663
(843) 848-5340
(843) 848-5345
Mailing address
PO BOX 421718, GEORGETOWN, SC 29442-4203
(843) 652-8226
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Enumeration date
08/10/2020
Last updated
08/10/2020
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