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GEORGETOWN PHYSICIAN ASSOCIATES LLC NPI 1477163988


NPI Information

NPI: 1477163988
Provider Name: GEORGETOWN PHYSICIAN ASSOCIATES, LLC
Classification: Internal Medicine - 207RE0101X
Entity Type: Organization

Specialization: Endocrinology, Diabetes & Metabolism

CLIA Number: 42D0894975

Address:
2200 CROW LN STE 301
MYRTLE BEACH, SC
ZIP 29577
Phone: (843) 848-5340
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GEORGETOWN PHYSICIAN ASSOCIATES, LLC is an endocrinology and diabetes and metabolism internal medicine in Myrtle Beach, SC. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. GEORGETOWN PHYSICIAN ASSOCIATES, LLC NPI is 1477163988. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2200 CROW LN STE 301
MYRTLE BEACH, SC
ZIP 29577-663
Phone: (843) 848-5340
Fax: (843) 848-5345

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

The CLIA number assigned to this NPI record is 42D0894975 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/10/2020 and was last updated on 8/10/2020.


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
1207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismYes

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: 4/28/2024

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