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Contact Information

GEORGETOWN GASTROENTEROLOGY, LLC
1011 N FRASER ST
GEORGETOWN, SC29440-2848
 Phone: 843-527-3428
 Fax: 843-546-8216
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gastroenterology

207RG0100X 10 Physician/Gastroenterology
Indicates primary specialty

NPI Profile & details for GEORGETOWN GASTROENTEROLOGY, LLC

NPI # 1619283306
LBN Legal business name GEORGETOWN GASTROENTEROLOGY, LLC
Authorized official KENTON HUNGERPILLER - (BUSINESS MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/19/2010
Last updated 06/02/2015 - About 11 years ago
Identifiers
SC Medicaid GP1579
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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