| Waccamaw Endoscopy Center, Llc | |
|
2361 North Fraser Street Georgetown SC 29440 | |
| (843) 527-3428 | |
| Not Available |
| Full Name | Waccamaw Endoscopy Center, Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 2361 North Fraser Street, Georgetown, South Carolina |
| Authorized Official Name and Position | Laurence H Ballou (MEDICAL DIRECTOR) |
| Authorized Official Contact | 8435273428 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Waccamaw Endoscopy Center, Llc 1011 N Fraser St Georgetown SC 29440-2848 Ph: (843) 527-3428 | Waccamaw Endoscopy Center, Llc 2361 North Fraser Street Georgetown SC 29440 Ph: (843) 527-3428 |
| NPI Number | 1033251160 |
|---|---|
| Provider Enumeration Date | 02/13/2007 |
| Last Update Date | 01/02/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033251160 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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