Organization
GEORGETOWN PHYSICIAN ASSOCIATES LLC
Active
Parent organization
GEORGETOWN PHYSICIAN ASSOCIATES, LLC
Other names
Tidelands Health Neurosciences
Organization subpart
Yes
Provider details
NPI number
Legal business name
GEORGETOWN PHYSICIAN ASSOCIATES, LLC
Authorized official
ELIZABETH SUTHERLAND WARD (EVP & CFO)
(843) 527-7102
Entity
Organization
Contact information
Practice address
4040 HIGHWAY 17 UNIT 301, MURRELLS INLET, SC 29576-5098
(843) 652-8205
(843) 652-8215
Mailing address
PO BOX 421718, GEORGETOWN, SC 29442-4203
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
—
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
11/17/2020
Last updated
11/22/2021
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