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GEORGETOWN PHYSICIAN ASSOCIATES LLC NPI 1326655333


NPI Information

NPI: 1326655333
Provider Name: GEORGETOWN PHYSICIAN ASSOCIATES, LLC

Doing Business As: TIDELANDS HEALTH ENT ASSOCIATES

Classification: Otolaryngology - 207Y00000X
Entity Type: Organization
Address:
2200 CROW LN STE 301
MYRTLE BEACH, SC
ZIP 29577
Phone: (843) 652-8390
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GEORGETOWN PHYSICIAN ASSOCIATES, LLC is an otolaryngology in Myrtle Beach, SC. The provider is an otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. GEORGETOWN PHYSICIAN ASSOCIATES, LLC NPI is 1326655333. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Tidelands Health Ent Associates.

The provider's business location address is:

2200 CROW LN STE 301
MYRTLE BEACH, SC
ZIP 29577-663
Phone: (843) 652-8390
Fax: (843) 652-8399

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 enumeration date for this NPI number is 9/24/2020 and was last updated on 10/13/2020.


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
1207Y00000XOtolaryngologyYes

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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