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GEORGETOWN PHYSICIAN ASSOCIATES LLC NPI 1649944414


NPI Information

NPI: 1649944414
Provider Name: GEORGETOWN PHYSICIAN ASSOCIATES, LLC

Doing Business As: TIDELANDS HEALTH VASCULAR SURGERY

Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

Address:
4040 HIGHWAY 17 UNIT 104
MURRELLS INLET, SC
ZIP 29576
Phone: (843) 652-8390
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GEORGETOWN PHYSICIAN ASSOCIATES, LLC is a vascular surgery surgery in Murrells Inlet, SC. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. GEORGETOWN PHYSICIAN ASSOCIATES, LLC NPI is 1649944414. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Tidelands Health Vascular Surgery.

The provider's business location address is:

4040 HIGHWAY 17 UNIT 104
MURRELLS INLET, SC
ZIP 29576-098
Phone: (843) 652-8390
Fax: (843) 652-8325

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 8/5/2021 and was last updated on 8/19/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12086S0129XSurgeryVascular SurgeryYes

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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