Georgetown Physician Associates, LLC
Doing business as Tidelands Health Family Medicine at Georgetown
Rural health clinic in Georgetown, SC, Medicare certification number 428958.
Medicare certification
Provider of Services- CCN
- 428958
- Status
- Active
- Provider type
- Rural health clinic
- Control type
- 1B
- Participating since
- Jun 23, 2003
- Last certification
- Nov 10, 2021
- Most recent change of ownership
- Oct 1, 2014 (1 total)
- Address
- 1075 North Fraser Street
Georgetown, SC 29440
(843) 527-4442
NPI records for this facility (CCN to NPI Mapping) 1
-
dba Tidelands Health Family Medicine
- Rural Health Clinic/Center
- Georgetown, SC
- NPI 1841364007
Medicare enrollment
Sources for this page
- Provider of Services: the certification, provider type, beds and status.
- Medicare Care Compare: the star rating and every measure on this page, with the state and national rates CMS publishes beside them.
- NPPES NPI Registry: the NPI records connected to this certification.