Georgetown Physician Services LLC

NPI #1912186206 in Georgetown, South Carolina

Provider Information

NPI Number
1912186206
Entity Type
Organization
Organization Name
Georgetown Physician Services LLC
Subpart
Yes (part of a larger organization)
Parent Organization
GEORGETOWN HOSPITAL SYSTEM
Primary Specialty
Internal Medicine
Enumeration Date
Nov 2, 2007
Last Updated
Nov 2, 2007

Practice Location

Address
606 BLACK RIVER RD
ZIP Code
29440-3304
Phone
(843) 527-7100

Authorized Official

Name
MR. BRUCE P BAILEY
Title
CEO
Phone
(843) 527-7100

Specialties & Taxonomy Codes

Specialty
Internal Medicine

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