Organization
MURRELLS INLET WACCAMAW COMMUNITY
Active
Parent organization
GEORGETOWN PHYSICIAN SERVICES LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
GEORGETOWN PHYSICIAN SERVICES LLC
Authorized official
MRS. BROOKE GASKINS (ADMINSTRATOR)
(843) 652-8100
Entity
Organization
Contact information
Practice address
4033 HWY 17 BYPASS, STE 110, MURRELLS INLET, SC 29576-5032
(842) 652-8100
Mailing address
PO BOX 2010, MURRELLS INLET, SC 29576-2010
(843) 652-8150
(843) 652-8151
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
12/02/2010
Last updated
11/15/2011
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