Organization
GEORGETOWN PHYSICIAN SERVICES, LLC
Active
Other names
Waccamaw Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUE STARK (COADMINISTRATOR)
(843) 543-0090
Entity
Organization
Contact information
Practice address
1075 N FRASER ST, GEORGETOWN, SC 29440-2848
(843) 527-4442
(843) 527-4027
Mailing address
9699 OCEAN HWY, PAWLEYS ISLAND, SC 29585-7425
(843) 237-4297
(843) 237-4095
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
SC
Other
Enumeration date
09/13/2010
Last updated
09/13/2010
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