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Organization

GEORGETOWN PHYSICIAN ASSOCIATES LLC

Active
Other names
Tidelands Health Group
Organization subpart
No

Provider details

NPI number
Authorized official
ERIN SHAFFER BEADLE (CHIEF FINANCIAL OFFICER (CFO)/EVP)
(843) 520-8617
Entity
Organization

Contact information

Practice address
606 BLACK RIVER RD STE 300, GEORGETOWN, SC 29440-3304
(843) 652-8290
(843) 546-8216
Mailing address
PO BOX 421718, GEORGETOWN, SC 29442-4203

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
207Q00000X
Family Medicine Physician
Primary
207R00000X
Internal Medicine Physician
207RH0003X
Hematology & Oncology Physician
207V00000X
Obstetrics & Gynecology Physician
207X00000X
Orthopaedic Surgery Physician
207Y00000X
Otolaryngology Physician
208000000X
Pediatrics Physician
2084N0400X
Neurology Physician
208600000X
Surgery Physician
208800000X
Urology Physician

Other

Enumeration date
11/26/2024
Last updated
01/13/2025
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