Organization
GEORGETOWN MEMORIAL HOSPITAL
Active
Other names
Tidelands Health Pediatric Rehabilitation Services at Myrtle Beach
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH WARD (EXECUTIVE VICE PRESIDENT/CFO)
(843) 527-7102
Entity
Organization
Contact information
Practice address
3515 CADUCEUS DR, SUITE A, MYRTLE BEACH, SC 29588-2922
(843) 293-7085
Mailing address
PO BOX 421718, GEORGETOWN, SC 29442-4203
(843) 293-7085
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
10/03/2007
Last updated
03/21/2019
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