George J Amonitti, MD
Individual provider Active NPI Obstetrics & Gynecology Physician · Okatie, SC
NPI 1811066038 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1811066038
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- 192400 (SC)
- Practice address
- 721 Okatie Highway
Okatie, SC 29909-2605 - Phone
- (843) 987-7400
- NPI assigned
- Nov 6, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 192400 | SC | MD | Obstetrics & Gynecology Physician |
| 19240 | SC | MD | Adult Health Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 192400 | SC | Yes |
Addresses
Primary practice location
721 Okatie Highway
Okatie, SC 29909-2605
Mailing address
PO Box 357
Ridgeland, SC 29936-2605
Phone (843) 785-9427
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 192400 | Medicaid | SC |
Other providers in Okatie, SC
- 14TH Circuit Solicitor'S Office
- Katherine Elizabeth Abell
- Tresa Almy-Albert
- William Christopher Altman
- American Oncology Partners, P.a.
- Kevin Michael Anderson
- Laura S Anthony
- Luann Aquino
- Erik Baker
- Matthew Baker
All providers in Okatie, SC · Obstetrics & Gynecology Physician in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.