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Contact Information

GEORGETOWN PHYSICIAN ASSOCIATES, LLC
2185 N FRASER ST
GEORGETOWN, SC29440
 Phone: 843-527-1800
 Fax: 843-527-6528
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for GEORGETOWN PHYSICIAN ASSOCIATES, LLC

NPI # 1912401399
LBN Legal business name GEORGETOWN PHYSICIAN ASSOCIATES, LLC
Authorized official ELIZABETH WARD - (EVP & CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 03/21/2018
Last updated 05/01/2020 - About 6 years ago
Identifiers
SC Other C120 MEDICARE PTAN
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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