GEORGETOWN HEALTH GROUP NPI 1255483327

NPI Information

NPI: 1255483327
Provider Name: GEORGETOWN HEALTH GROUP
Classification: Clinic/Center - 261QP2300X
Specialization: Primary Care
Entity Type: Organization
Doing Business As: MEDICAL BUILDING, PA
Address: 1530 HIGHMARKET ST
GEORGETOWN, SC
ZIP 29440
Phone: (843) 546-5128

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NPI Details

GEORGETOWN HEALTH GROUP is a primary care clinic center in Georgetown, SC. GEORGETOWN HEALTH GROUP NPI is 1255483327. The provider is registered as an organization entity type.
The provider Is Doing Business As Medical Building, Pa.

The provider's business location address is:

1530 HIGHMARKET ST
GEORGETOWN, SC
ZIP 29440-121
Phone: (843) 546-5128
Fax: (843) 527-7500

The provider's authorized official is Amanda Wright .
The authorized official title is Vice Administrator and has the following contact phone number (843) 527-4442.

The enumeration date for this NPI number is 1/17/2007 and was last updated on 11/26/2007.

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
1	261QP2300X	Clinic/Center	Primary Care			Yes

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
1	5078	MEDICARE PIN	SOUTH CAROLINA
2	GP1371	MEDICAID	SOUTH 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: 3/30/2025

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