Organization
GEORGETOWN HEALTH GROUP
Active
Other names
Medical Building, PA
Organization subpart
No
Provider details
NPI number
Authorized official
SUE STARK (COADMINISTRATOR)
(843) 527-4442
Entity
Organization
Contact information
Practice address
1530 HIGH MARKET ST, GEORGETOWN, SC 29440
(843) 546-5128
(843) 527-7500
Mailing address
1075 N FRASER ST, GEORGETOWN, SC 29440-2848
(843) 527-4442
(843) 527-4027
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RHC051
—
SC
05
—
RHC167
—
SC
Enumeration date
01/19/2007
Last updated
04/14/2008
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