Tidelands Health Diabetes Center

LBN: Georgetown Physician Associates, Llc
Tidelands Health Diabetes Center is an health care organization with primary practice located at 11891 Plaza Dr , Murrells Inlet SC 29576. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Georgetown Physician Associates, Llc can be contacted via phone (843) 353-0288, or through Ward, Elizabeth Sutherland via phone (843) 527-7102.

Contact Information

Primary practice address
11891 Plaza Dr Murrells Inlet SC 29576
Phone: (843) 353-0288
Fax: (843) 357-9770
Website:
Map and Directions
Authorized official contact:
Name: Ward, Elizabeth Sutherland
Phone: (843) 527-7102

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X South Carolina

Profile Details

NPI number 1962953117
LBN Legal business name Georgetown Physician Associates, Llc
DBA Doing business as Tidelands Health Diabetes Center
Authorized official Ward, Elizabeth Sutherland
Entity Organization
Organization subpart 1 No
Enumeration date Oct 21st, 2016
Last updated May 1st, 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 1962953117 NPPES
South Carolina MEDICAID GP7646

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