Healthcare Provider Details

I. General information

NPI: 1972127637
Provider Name (Legal Business Name): GEORGE ANDREW BOOK MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/29/2020
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1003 LANDFALL WAY STE B
JOHNS ISLAND SC
29455-6323
US

IV. Provider business mailing address

1003 LANDFALL WAY STE B
JOHNS ISLAND SC
29455-6323
US

V. Phone/Fax

Practice location:
  • Phone: 843-768-0888
  • Fax: 843-985-9479
Mailing address:
  • Phone: 843-768-0888
  • Fax: 843-985-9479

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number94987
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: