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NPI Code Detail

MEDICARE: GEORGETOWN INTERNISTS AND PEDIATRICIANS INC

MEDICARE: GEORGETOWN INTERNISTS AND PEDIATRICIANS INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician208000000XSC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1134296700
Entity Type Code : Organization
Provider Name (Legal Business Name) : GEORGETOWN INTERNISTS AND PEDIATRICIANS INC
Provider Business Mailing Address
First Line : 64 BUSINESS CENTER DR
Second Line :
City : PAWLEYS ISLAND
State : SC
Zip : 29585-7963
Country : US
Telephone Number : 843-314-1314
Fax Number : 843-314-1308
Provider Business Practice Location Address
First Line : 64 BUSINESS CENTER DR
Second Line :
City : PAWLEYS ISLAND
State : SC
Zip : 29585-7963
Country : US
Telephone Number : 843-314-1314
Fax Number : 843-314-1308
Authorized Official
Title or Position : PRACTICE MANAGER
Name : MRS. LYNNE A READ
Credential :
Telephone Number : 843-314-1305
Provider Enumeration Date : 11/29/2006
Last Update Date : 12/28/2023

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1922121136 — MICHAEL RATZ M.D.
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Directions to “GEORGETOWN INTERNISTS AND PEDIATRICIANS INC ” Practice Location

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