Murrells Inlet Waccamaw Community

NPI #1659673242 in Murrells Inlet, South Carolina

Provider Information

NPI Number: 1659673242
Entity Type: Organization
Organization Name: Murrells Inlet Waccamaw Community
Subpart: Yes (part of a larger organization)
Parent Organization: GEORGETOWN PHYSICIAN SERVICES LLC
Primary Specialty: Family Medicine
Enumeration Date: Dec 2, 2010
Last Updated: Nov 15, 2011

Practice Location

Address: 4033 HWY 17 BYPASS
Address 2: STE 110
City: Murrells Inlet
State: South Carolina
ZIP Code: 29576-5032
Phone: (842) 652-8100

Authorized Official

Name: MRS. BROOKE GASKINS
Title: ADMINSTRATOR
Phone: (843) 652-8100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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