| Georgetown Physician Services Llc | |
|
606 Black River Rd Georgetown SC 29440-3304 | |
| (843) 527-7100 | |
| Not Available |
| Full Name | Georgetown Physician Services Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 606 Black River Rd, Georgetown, South Carolina |
| Authorized Official Name and Position | Bruce P Bailey (CEO) |
| Authorized Official Contact | 8435277100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Georgetown Physician Services Llc Po Box 421718 Georgetown SC 29442-4203 Ph: (843) 527-7100 | Georgetown Physician Services Llc 606 Black River Rd Georgetown SC 29440-3304 Ph: (843) 527-7100 |
| NPI Number | 1912186206 |
|---|---|
| Provider Enumeration Date | 11/02/2007 |
| Last Update Date | 11/02/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912186206 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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