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Organization

GEORGETOWN PHYSICIAN ASSOCIATES, LLC

Active
Other names
Dermatology Associates of Waccamaw
Organization subpart
No

Provider details

NPI number
Authorized official
ELIZABETH SUTHERLAND WARD (EVP/CFO)
(843) 527-7102
Entity
Organization

Contact information

Practice address
4033 HIGHWAY 17, SUITE 105, MURRELLS INLET, SC 29576-5032
(843) 652-8110
(843) 652-8111
Mailing address
PO BOX 421718, GEORGETOWN, SC 29442-4203
(843) 520-8883
(843) 652-8422

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary

Other

Enumeration date
06/13/2014
Last updated
05/01/2020
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