Waccamaw Endoscopy Center, LLC
NPI #1033251160 in Georgetown, South Carolina
Provider Information
- NPI Number
- 1033251160
- Entity Type
- Organization
- Organization Name
- Waccamaw Endoscopy Center, LLC
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Feb 13, 2007
- Last Updated
- Jan 2, 2008
Practice Location
- Address
- 2361 NORTH FRASER STREET
- City
- Georgetown
- State
- South Carolina
- ZIP Code
- 29440
- Phone
- (843) 527-3428
Authorized Official
- Name
- LAURENCE H BALLOU, M.D.
- Title
- MEDICAL DIRECTOR
- Phone
- (843) 527-3428
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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