Organization
GEORGETOWN PHYSICIAN ASSOCIATES, LLC
Active
Parent organization
GEORGETOWN PHYSICIAN SERVICES, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
GEORGETOWN PHYSICIAN SERVICES, LLC
Authorized official
ELIZABETH SUTHERLAND WARD (EVP & CFO)
(843) 527-7102
Entity
Organization
Contact information
Practice address
4301 DICK POND RD, MYRTLE BEACH, SC 29588
(843) 652-8108
Mailing address
PO BOX 421718, GEORGETOWN, SC 29442-4203
(843) 520-8883
(843) 652-8422
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
12/03/2012
Last updated
05/01/2020
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