Waccamaw Family Medicine

LBN: Georgetown Physician Services, Llc
Waccamaw Family Medicine is an health care organization with primary practice located at 9699 Ocean Hwy , Pawleys Island SC 29585-7425. 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 Services, Llc can be contacted via phone (843) 237-4296, or through Stark, Sue R. via phone (843) 527-4442.

Contact Information

Primary practice address
9699 Ocean Hwy Pawleys Island SC 29585-7425
Phone: (843) 237-4296
Fax: (843) 237-0495
Website:
Map and Directions
Authorized official contact:
Name: Stark, Sue R.
Phone: (843) 527-4442

Health care specialties

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

Profile Details

NPI number 1962691402
LBN Legal business name Georgetown Physician Services, Llc
DBA Doing business as Waccamaw Family Medicine
Authorized official Stark, Sue R.
Entity Organization
Organization subpart 1 No
Enumeration date Oct 22nd, 2007
Last updated Nov 3rd, 2010 - about 15 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 1962691402 NPPES
South Carolina MEDICAID GP1370
South Carolina MEDICAID GP4819

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