Georgetown Physician Associates, Llc
Pediatrics
Georgetown Physician Associates, Llc is a Myrtle Beach, South Carolina based Pediatric center with medical specialization in
General Pediatrics. Georgetown Physician Associates, Llc is doing business as
Tidelands Health Pediatrics.
It is located at
4320 Holmestown Rd Ste B, Myrtle Beach, South Carolina - 29588-7837. They can be contacted on phone at
843-652-8440 and fax number 843-652-8441.
NPI number (Unique professional ID) for Georgetown Physician Associates, Llc is
1053967943 which was assigned by NPPES on 15 Aug, 2019 and it was last updated on 01 May, 2020.
Georgetown Physician Associates, Llc is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Georgetown Physician Associates, Llc basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
Specialization : | Pediatrics |
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Provider Name : | Georgetown Physician Associates, Llc |
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Other Name : | Tidelands Health Pediatrics |
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Business Address:
Georgetown Physician Associates, Llc address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
Primary Address : | 4320 Holmestown Rd Ste B Myrtle Beach, SC, 29588-7837 United States |
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Phone Number : | 843-652-8440 |
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Fax Number : | 843-652-8441 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number : | 1053967943 |
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NPI Entity Type : | Organization |
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First Enrolment Date : | 15 Aug, 2019 |
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Last Updated On : | 01 May, 2020 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
Authorized Official Name : | Elizabethsutherland Ward |
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Official Title or Position : | EVP & CFO |
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Phone Number : | 843-527-7102 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Georgetown Physician Associates, Llc are as mentioned. Primary taxonomy code for Georgetown Physician Associates, Llc is
208000000X (Pediatrics).
Taxonomy Code | Speciality | Primary | License No. | State |
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208000000X | Pediatrics | Yes | | |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
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DIRECT (Direct Messaging Address) | credentialing@tidelandshealth.org
| No affiliation | DIRECT Direct
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| 4320 HOLMESTOWN RD STE B, MYRTLE BEACH, SC, 29588-7837 United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
Mailing Address : | Po Box 421718 Georgetown, SC, 29442-4203 United States |
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Phone Number : | 843-652-8440 |
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Business Location:
Patients can refer following map for directions to
Georgetown Physician Associates, Llc practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.