Tidelands Health Family Medicine

LBN: Georgetown Physician Associates, Llc
Tidelands Health Family Medicine is an health care organization with primary practice located at 701 S Morgan Ave , Andrews SC 29510. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. Georgetown Physician Associates, Llc can be contacted via phone (843) 264-5253, or through Ward, Elizabeth Sutherland via phone (843) 527-7102.

Contact Information

Primary practice address
701 S Morgan Ave Andrews SC 29510
Phone: (843) 264-5253
Fax: (843) 264-5970
Website:
Map and Directions
Authorized official contact:
Name: Ward, Elizabeth Sutherland
Phone: (843) 527-7102

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X

Profile Details

NPI number 1104995372
LBN Legal business name Georgetown Physician Associates, Llc
DBA Doing business as Tidelands Health Family Medicine
Authorized official Ward, Elizabeth Sutherland
Entity Organization
Organization subpart 1 No
Enumeration date Nov 6th, 2006
Last updated May 1st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104995372 NPPES
South Carolina MEDICAID RHC068

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