Organization

Georgetown Physician Associates, Llc

May also be knows as Tidelands Health Family Medicine

Family Medicine Physician in Murrells Inlet, SC(View on Map)

Legal Business Name

Georgetown Physician Associates, Llc

Also Known As

Tidelands Health Family Medicine

NPI Number

1235475930

NPI Type

Organization

Enumeration Date

12/27/2012

Specialties

(Taxonomies)

Code

207Q00000X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 421718
2347 S HIGHWAY 17

City

Georgetown
Murrells Inlet

State

SC
SC

Postal Code

29442-4203
29576-7611

Country

US
US

Telephone Number

(843) 520-8883
(843) 357-2443

Authorized Official

Name

Elizabeth Ward

Title or Position

EVP & CFO

Telephone Number

(843) 527-7102

Identifiers

Identifier

GP6126

Identifier State

SC

Identifier Issuer

Unknown

Health Information Exchange

Endpoint Type

DIRECT

Endpoint

credentialing@tidelandshealth.org

Endpoint Description

Unknown

Use

Direct

Content Type

CSV

Affiliation

N

Endpoint Location

2347 S Highway 17Murrells Inlet, SC295767611US

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 05/01/2020

Provider Address

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