Organization
GEORGETOWN ORTHOPAEDICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEANNE OWENS (CREDENTIALING COORDINATOR)
(843) 325-1315
Entity
Organization
Contact information
Practice address
2185 N FRASER ST, GEORGETOWN, SC 29440-6418
(843) 325-1315
Mailing address
2185 N FRASER ST, GEORGETOWN, SC 29440-6418
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
08/15/2011
Last updated
08/15/2011
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