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GEORGETOWN HEALTH GROUP NPI 1144401365


NPI Information

NPI: 1144401365
Provider Name: GEORGETOWN HEALTH GROUP

Doing Business As: ANDREWS MEDICAL CENTER

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 42D0251057

Address:
701 S MORGAN AVE
ANDREWS, SC
ZIP 29510
Phone: (843) 264-5253
Get Directions

GEORGETOWN HEALTH GROUP is a family medicine in Andrews, SC. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. GEORGETOWN HEALTH GROUP NPI is 1144401365. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Andrews Medical Center.

The provider's business location address is:

701 S MORGAN AVE
ANDREWS, SC
ZIP 29510-959
Phone: (843) 264-5253

The provider's authorized official is Sue R. Stark .
The authorized official title is Co-administrator and has the following contact phone number (843) 527-4442.

The CLIA number assigned to this NPI record is 42D0251057 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/15/2007 and was last updated on 11/19/2007.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
15078MEDICARE PIN
2GP1366MEDICAIDSOUTH 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: 5/5/2024

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