Organization
GEORGETOWN PHYSICIAN ASSOCIATES, LLC
Active
Other names
Tidelands Health Vascular Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH SUTHERLAND WARD (EVP & CFO)
(843) 527-7102
Entity
Organization
Contact information
Practice address
4040 HIGHWAY 17 UNIT 104, MURRELLS INLET, SC 29576-5098
(843) 652-8390
(843) 652-8325
Mailing address
PO BOX 421718, GEORGETOWN, SC 29442-4203
(843) 520-8883
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Enumeration date
08/05/2021
Last updated
08/19/2021
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