| NPI | 1275861536 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BROOKE COX GASKINS Director;Georgetown Physician Servi 843-520-8441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2009-11-25 |
| Last Update Date | 2010-11-18 |