Tidelands Health Family Medicine
LBN: Georgetown Physician Associates, Llc
Tidelands Health Family Medicine is an health care organization with primary practice located at 12117 Ocean Hwy , Pawleys Island SC 29585. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Georgetown Physician Associates, Llc can be contacted via phone (843) 237-8231, or through Ward, Elizabeth Sutherland via phone (843) 527-7102.
Contact Information
Primary practice address
12117 Ocean Hwy
Pawleys Island SC 29585
Phone: (843) 237-8231
Fax: (843) 237-8551
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | ||
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X |
Profile Details
| NPI number | 1811233562 |
|---|---|
| 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 | Dec 28th, 2012 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811233562 | NPPES |
| South Carolina | MEDICAID | GP6125 |
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