WACCAMAW SURGICAL ASSOCIATES (NPI# 1710022660) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710022660 |
| Entity Type | Organization |
| Organization Name | WACCAMAW SURGICAL ASSOCIATES |
| Practice Address |
401 Marina Dr Georgetown SC 29440-2410 |
| Practice Telephone | 8435467272 |
| Practice Fax Number | 8435460277 |
| Mailing Telephone | 8435467272 |
| Mailing Fax Number | 8435460277 |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2008-06-13 |
| Authorized Official Name | TERRY LENTZ FRY (OWNER) |
| Authorized Official Telephone | 8435467272 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 14277 | SC | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 14277 | 05 |
| Street Address |
401 MARINA DR |
| City | GEORGETOWN |
| State | SC |
| Zip Code | 29440-2410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104873017 | Terry L Fry | Otolaryngology | 401 Marina Dr, Georgetown, SC 29440-2410 | 2006-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003288788 | Bartou Wilson | Pharmacist | 513 Rosemont St, Georgetown, SC 29440 | 2015-10-21 |
| 1538557780 | Sc Pain and Spine Specialist | Pain Medicine | 230 S Fraser Street, Georgetown, SC 29440 | 2014-12-22 |
| 1326393745 | Rose Carpenzano | Social Worker | 525 Lafayette Circle, Waccamaw Center for Mental Health, Georgetown, SC 29440 | 2012-07-23 |
| 1942575451 | Surgical Specialists of Waccamaw, LLC | Surgery | 4367 Riverwood Drive, Suite 130, Murrells Inlet, SC 29440 | 2012-03-16 |
| 1619296654 | Lisa Marie Holmes | Durable Medical Equipment & Medical Supplies | 1263 N. Frazer St., Georgetown, SC 29440 | 2010-05-28 |
| 1104156892 | Georgetown Anesthesia Consultants, PC | Anesthesiology | 606 Blackriver Road, Georgetown, SC 29440 | 2010-01-04 |
| 1306018999 | Heather Denise Sharpe | Pharmacist | 810 Elizabeth Street, Georgetown, SC 29440 | 2008-03-24 |
| 1083882054 | Advanced Chiropractic Center | Chiropractor | 705 North Fraser Street, Advanced Chiropractic Center, Georgetown, SC 29440 | 2008-02-13 |
| 1295922284 | Georgetown Memorial Hospital | Clinic/Center | 2361 North Frasier Street, Georgetown, SC 29440 | 2007-10-03 |
| 1114110863 | Thomas Clifford Rowland Jr. | Obstetrics & Gynecology | 74 Swan Point Trail, Georgetown, SC 29440 | 2007-08-24 |
| Find all providers in zip 29440 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
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| 1992182265 | James Keith Light | Specialist | 500 Marquesa Trl, Georgetown, TX 78633-4459 | 2015-05-06 |
| 1497029029 | Venessa Power | Specialist | 2200 Tower Dr, #15105, Georgetown, TX 78626-7900 | 2012-02-29 |
| 1366768186 | Persante Sleep Care, Inc. | Specialist | 1806 Commerce Road, Georgetown, DE 19947-0000 | 2010-04-19 |
| 1851613129 | David Perry Burkley | Specialist | 221 Whispering Wind, Georgetown, TX 78633-4541 | 2010-02-26 |
| 1497080667 | Deborah Meeker | Specialist | 501 S Austin Ave Unit 1310, Georgetown, TX 78626-5639 | 2009-10-06 |
| 1457552606 | Amy Polly Foster | Specialist | 131 Prater Dr, Georgetown, KY 40324-8663 | 2007-05-29 |
| Find all providers in GEORGETOWN | ||||
| City | GEORGETOWN |
| Zip Code | 29440 |
Please comment or provide details below to improve the information on WACCAMAW SURGICAL ASSOCIATES.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.