Tidelands Health Family Medicine

LBN: Georgetown Physician Associates, Llc
Tidelands Health Family Medicine is an health care organization with primary practice located at 9699 Ocean Hwy , Pawleys Island SC 29585. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Primary Care, Ambulatory Health Care Facilities / Rural Health. Ambulatory Health Care Facilities / Rural Health is the primary health care specialty. Georgetown Physician Associates, Llc can be contacted via phone (843) 237-4297, or through Ward, Elizabeth Sutherland via phone (843) 527-7102.

Contact Information

Primary practice address
9699 Ocean Hwy Pawleys Island SC 29585
Fax: (843) 237-0495
Website:
Authorized official contact:
Name: Ward, Elizabeth Sutherland

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X South Carolina
Ambulatory Health Care Facilities / Primary Care 261QP2300X South Carolina
Ambulatory Health Care Facilities / Rural Health 261QR1300X South Carolina

Profile Details

NPI number 1306028832
LBN Legal business name Georgetown Physician Associates, Llc
DBA Doing business as Tidelands Health Family Medicine
Authorized official Ward, Elizabeth Sutherland
Entity Organization
Organization subpart 1 No
Enumeration date Nov 27th, 2007
Last updated Jun 25th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306028832 NPPES
South Carolina MEDICAID RHC202
South Carolina MEDICAID GP6554

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