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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