Organization
GEORGETOWN GASTROENTEROLOGY, LLC
Active
Other names
Waccamaw Gastroenterology, PC
Organization subpart
No
Provider details
NPI number
Authorized official
KENTON HUNGERPILLER (BUSINESS MANAGER)
(843) 652-8221
Entity
Organization
Contact information
Practice address
1011 N FRASER ST, GEORGETOWN, SC 29440-2848
(843) 527-3428
(843) 546-8216
Mailing address
PO BOX 1209, MURRELLS INLET, SC 29576-1209
(843) 652-8220
(843) 527-7080
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP1579
—
SC
Enumeration date
08/19/2010
Last updated
06/02/2015
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