Tidelands Health Gastroenterology
LBN: Georgetown Physician Associates
Tidelands Health Gastroenterology is an health care organization with primary practice located at 1011 N Fraser St , Georgetown SC 29440. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as the primary health care specialty.
Georgetown Physician Associates can be contacted via phone (843) 527-3428, or through Ward, Elizabeth Sutherland via phone (843) 527-7102.
Contact Information
Primary practice address
1011 N Fraser St
Georgetown SC 29440
Phone: (843) 527-3428
Fax: (843) 546-8216
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X |
Profile Details
| NPI number | 1093139420 |
|---|---|
| LBN Legal business name | Georgetown Physician Associates |
| DBA Doing business as | Tidelands Health Gastroenterology |
| Authorized official | Ward, Elizabeth Sutherland |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 5th, 2014 |
| Last updated | Jun 25th, 2020 - about 6 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093139420 | NPPES |
| South Carolina | MEDICAID | GP8837 | |
| South Carolina | MEDICAID | GP6485 | |
| South Carolina | MEDICAID | GP8109 |
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