TIDELANDS HEALTH ONCOLOGY
NPI 1629482435
Internal Medicine - Medical Oncology in Georgetown, SC

Q: What is Georgetown Physician Associates, LLC's NPI number?

The NPI number for Georgetown Physician Associates, LLC is 1629482435. It was assigned to this organization in the NPPES registry on June 19, 2014. The provider is doing business as Tidelands Health Oncology.

Q: What is Georgetown Physician Associates, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Medical Oncology, with taxonomy code 207RX0202X.

Active since June 19, 2014

2405 N FRASER ST, GEORGETOWN, SC 29440(843) 545-7274(843) 545-8315 Get Directions Write a Review

NPPES record last updated: June 25, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 25, 2020, Dec 19, 2019, Nov 15, 2019 and 2 more (5 updates tracked since 2018).

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About Tidelands Health Oncology NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIDELANDS HEALTH ONCOLOGY (NPI 1629482435) is a healthcare organization registered as a medical oncology in Georgetown, South Carolina and active in the NPI registry since June 2014. The organization maintains 2 additional practice locations and lists Elizabeth Sutherland Ward, Evp & Cfo, as its authorized official.

NPPES Registry Identity

NPI1629482435

Entity TypeOrganization

Primary Taxonomy207RX0202X

Legal Business NameGEORGETOWN PHYSICIAN ASSOCIATES, LLC

Location Address2405 N FRASER STGeorgetown, SC 29440

Mailing AddressPo Box 421718Georgetown, SC 29442-4203 · (843) 520-8883 · Fax (843) 652-8422

Phone(843) 545-7274

Fax(843) 545-8315

Organization SubpartNo

Authorized OfficialElizabeth Sutherland WardEvp & Cfo · (843) 527-7102

Enumeration DateJune 19, 2014

Last NPPES UpdateJune 25, 20205 updates tracked since enumeration

NPPES CertifiedJune 25, 2020

✔ NPI 1629482435 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Medical OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207RX0202X

Definition

An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.

2405 N FRASER ST, Georgetown, SC 29440

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Other Names 1

Doing Business AsTidelands Health Oncology

Secondary Practice Locations 2

Location 11220 21st Ave NMyrtle Beach, SC 29577-7401 · Phone (843) 652-3600 · Fax (843) 652-8301

Location 24181 Highway 17Murrells Inlet, SC 29576-5019 · Phone (843) 652-3600 · Fax (843) 652-3602

Other Identifiers 2

MedicaidGP7345SC

MedicaidGP6530SC

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and more.Insurance ›

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CAROL ANN BOGDAN MD

Internal Medicine (Hematology & Oncology)