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GEORGETOWN PHYSICIAN ASSOCIATES LLC NPI 1053704627


NPI Information

NPI: 1053704627
Provider Name: GEORGETOWN PHYSICIAN ASSOCIATES, LLC

Doing Business As: TIDELANDS HEALTH PAIN MANAGEMENT SERVICES

Classification: Anesthesiology - 207LP2900X
Entity Type: Organization

Specialization: Pain Medicine

Address:
4040 HIGHWAY 17 UNIT 206
MURRELLS INLET, SC
ZIP 29576
Phone: (843) 652-8260
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GEORGETOWN PHYSICIAN ASSOCIATES, LLC is a pain medicine anesthesiology in Murrells Inlet, SC. The provider is an anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. GEORGETOWN PHYSICIAN ASSOCIATES, LLC NPI is 1053704627. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Tidelands Health Pain Management Services.

The provider's business location address is:

4040 HIGHWAY 17 UNIT 206
MURRELLS INLET, SC
ZIP 29576-098
Phone: (843) 652-8260
Fax: (843) 652-8269

The provider's authorized official is Elizabeth Sutherland Ward .
The authorized official title is Evp & Cfp and has the following contact phone number (843) 527-7102.

The enumeration date for this NPI number is 3/6/2015 and was last updated on 6/25/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207L00000XAnesthesiologyNo
2207LP2900XAnesthesiologyPain MedicineSOUTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1GP7010MEDICAIDSOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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