Murrells Inlet Waccamaw Community

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MURRELLS INLET WACCAMAW COMMUNITY

Practice address

4033 Hwy 17 Bypass
Ste 110
Murrells Inlet, SC 29576-5032

Phone

(842) 652-8100

NPI assigned

Dec 2, 2010

Organization subpart

Yes

Parent organization

GEORGETOWN PHYSICIAN SERVICES LLCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Brooke Gaskins

Title

Adminstrator

Phone

(843) 652-8100

Specialties & licenses 1

Addresses

Part of

Waccamaw Family Medicine

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1291248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321315200000",
    "number": "1659673242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2010",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295762010",
            "telephone_number": "843-652-8150",
            "fax_number": "843-652-8151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4033 HWY 17 BYPASS",
            "address_2": "STE 110",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295765032",
            "telephone_number": "842-652-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MURRELLS INLET WACCAMAW COMMUNITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GEORGETOWN PHYSICIAN SERVICES LLC",
        "enumeration_date": "2010-12-02",
        "last_updated": "2011-11-15",
        "status": "A",
        "authorized_official_last_name": "GASKINS",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_title_or_position": "ADMINSTRATOR",
        "authorized_official_telephone_number": "843-652-8100",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Murrells Inlet, SC
• Providers in Murrells Inlet, SC by specialty
• Family Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.