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Contact Information

GEORGETOWN PHYSICIAN ASSOCIATES, LLC
2405 N FRASER ST
GEORGETOWN, SC29440
 Phone: 843-545-7274
 Fax: 843-545-8315
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical Oncology

207RX0202X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for GEORGETOWN PHYSICIAN ASSOCIATES LLC · (Female)

NPI Number 1629482435
Status Active
Credentials
Entity Individual
Enumeration date 06/19/2014
Last updated 06/25/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • SC Medicaid GP6530
  • SC Medicaid GP7345
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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