GEORGETOWN PHYSICIAN ASSOCIATES LLC NPI 1568065266

NPI Information

  • NPI: 1568065266
  • Provider Name: GEORGETOWN PHYSICIAN ASSOCIATES LLC
  • Classification: Psychiatry & Neurology - 2084N0400X
  • Specialization: Neurology
  • Entity Type: Organization
  • Doing Business As: TIDELANDS HEALTH NEUROSCIENCES
  • Address: 4040 HIGHWAY 17 UNIT 301
    MURRELLS INLET, SC
    ZIP 29576
  • Phone: (843) 652-8205

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NPI Details

GEORGETOWN PHYSICIAN ASSOCIATES LLC is a neurology psychiatry neurology in Murrells Inlet, SC. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. GEORGETOWN PHYSICIAN ASSOCIATES LLC NPI is 1568065266. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Tidelands Health Neurosciences.

The provider's business location address is:

4040 HIGHWAY 17 UNIT 301
MURRELLS INLET, SC
ZIP 29576-098
Phone: (843) 652-8205
Fax: (843) 652-8215

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 11/17/2020 and was last updated on 11/22/2021.

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
1207XS0117XOrthopaedic SurgeryOrthopaedic Surgery of the SpineNo
22084N0400XPsychiatry & NeurologyNeurologyYes

What is NPI?

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This page was last updated on: 11/21/2025

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