Georgetown Physician Associates, LLC
Emergency Medicine, Undersea and Hyperbaric Medicine in Murrells Inlet, SC. Organization (NPI-2).
NPI number1548604366
StatusActive
Last updated in NPPESJun 25, 2020
Details
- NPI
- 1548604366
- Entity type
- Organization (NPI-2)
- Legal business name
- Georgetown Physician Associates, LLC
- Organization subpart
- No
- Enumeration date
- Apr 23, 2013
- Certification date
- Jun 25, 2020
- Last updated
- Jun 25, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207PE0005X | Emergency Medicine, Undersea and Hyperbaric Medicine | – | – | Yes |
Other names
- Tidelands Health Wound Healing Center (Doing Business As)
Practice location
4367 Riverwood Dr Unit 104Murrells Inlet, SC 29576-4381
Phone 843-652-8020 · Fax 843-652-8021
Mailing address
Po Box 421718Georgetown, SC 29442-4203
Phone 843-520-8883 · Fax 843-652-8422
Other practice locations
4033 Highway 17
Murrells Inlet, SC 29576-5032
Murrells Inlet, SC 29576-5032
Phone 843-652-8020
Authorized official
Elizabeth Sutherland Ward
Evp & Cfo
8435277102
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