DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: GEORGETOWN PHYSICIAN ASSOCIATES, LLC

MEDICARE: GEORGETOWN PHYSICIAN ASSOCIATES, LLC
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
1207Q00000XFamily Medicine Physician

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 : 1235475930
Entity Type Code : Organization
Provider Name (Legal Business Name) : GEORGETOWN PHYSICIAN ASSOCIATES, LLC
Provider Business Mailing Address
First Line : PO BOX 421718
Second Line :
City : GEORGETOWN
State : SC
Zip : 29442-4203
Country : US
Telephone Number : 843-520-8883
Fax Number : 843-652-8422
Provider Business Practice Location Address
First Line : 2347 S HIGHWAY 17
Second Line :
City : MURRELLS INLET
State : SC
Zip : 29576-7611
Country : US
Telephone Number : 843-357-2443
Fax Number : 843-357-2132
Authorized Official
Title or Position : EVP & CFO
Name : ELIZABETH SUTHERLAND WARD
Credential :
Telephone Number : 843-527-7102
Provider Enumeration Date : 12/27/2012
Last Update Date : 05/01/2020

Similar Medicare Providers

1629357272 — CRYSTAL J CONNORS APRN, FNP-C
Practice Location Address:
2347 S HIGHWAY 17
MURRELLS INLET, SC
29576-7611
Practice Phone: 843-357-2443
Practice Fax: 843-357-2132
1790365716 — MARCUS LANSING OLIVER DO
Practice Location Address:
2347 S HIGHWAY 17
MURRELLS INLET, SC
29576-7611
Practice Phone: 843-357-2443
Practice Fax: 843-357-2132
1942360672 — JAMES E TUREK MD
Practice Location Address:
2347 S HIGHWAY 17
MURRELLS INLET, SC
29576-7611
Practice Phone: 843-357-2443
Practice Fax: 843-357-2132
1073085965 — STEPHANIE MARIE GONSHOR NP
Practice Location Address:
2347 S HIGHWAY 17
MURRELLS INLET, SC
29576-7611
Practice Phone: 843-357-2443
Practice Fax: 843-357-2132
1528611605 — VERED BUTBUL BENEZRA FNP
Practice Location Address:
2347 S HIGHWAY 17
MURRELLS INLET, SC
29576-7611
Practice Phone: 843-357-2443
Practice Fax: 843-357-2132
1386267037 — ELIZABETH DIXON
Practice Location Address:
2347 S HIGHWAY 17
MURRELLS INLET, SC
29576-7611
Practice Phone: 843-357-2443
Practice Fax: 843-357-2132

Directions to “GEORGETOWN PHYSICIAN ASSOCIATES, LLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.