Organization
GEORGETOWN RADIOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT WHITEHEAD MD (PARTNER)
(843) 237-3378
Entity
Organization
Contact information
Practice address
606 BLACK RIVER RD, GEORGETOWN, SC 29440-3304
(843) 237-3378
(843) 237-5073
Mailing address
PO BOX 2249, PAWLEYS ISLAND, SC 29585-2249
(843) 237-3378
(843) 237-5073
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CC7341
RAILROAD MEDICARE
SC
05
—
PA4469
—
SC
Enumeration date
04/25/2006
Last updated
03/16/2009
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