| Georgetown Pediatric Center | |
|
57 Jessamine Ave Georgetown SC 29440-5837 | |
| (843) 887-3274 | |
| (843) 887-3274 |
| Full Name | Georgetown Pediatric Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 57 Jessamine Ave, Georgetown, South Carolina |
| Authorized Official Name and Position | Sandra D Gilliard (CEO) |
| Authorized Official Contact | 1843990799 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Georgetown Pediatric Center Po Box 608 Mc Clellanville SC 29458-0608 Ph: (843) 887-3274 | Georgetown Pediatric Center 57 Jessamine Ave Georgetown SC 29440-5837 Ph: (843) 887-3274 |
| NPI Number | 1316345846 |
|---|---|
| Provider Enumeration Date | 12/16/2014 |
| Last Update Date | 06/21/2022 |
| Medicare PECOS PAC ID | 1658280334 |
|---|---|
| Medicare Enrollment ID | O20150212002144 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316345846 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Georgetown Pediatric Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 57 Jessamine Ave, Georgetown, SC 29440 Phone: 843-546-8686 Fax: 843-546-1353 | |
Waccamaw Endoscopy Center, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2361 North Fraser Street, Georgetown, SC 29440 Phone: 843-527-3428 | |
Ovp Health Care, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1423 Winyah St, Georgetown, SC 29440 Phone: 304-429-1088 Fax: 304-429-3109 | |
Tidelands Health Gastroenterology Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1011 N Fraser St, Georgetown, SC 29440 Phone: 843-527-3428 Fax: 843-546-8216 | |
Georgetown Health Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1075 N Fraser St, Georgetown, SC 29440 Phone: 843-527-4442 | |
Carehere Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1745 N Fraser St, Georgetown, SC 29440 Phone: 615-221-5901 | |
Georgetown Physician Associates, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 606 Black River Rd, Georgetown, SC 29440 Phone: 843-520-8020 Fax: 843-520-8820 |