Kaleigh Elizabeth Hudak (NPI# 1831659770, PAC ID# 7810230497) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1831659770 |
| PAC ID by PECOS | 7810230497 |
| Professional Enrollment ID | I20190522002507 |
| Full Name | Kaleigh Elizabeth Hudak |
| Organization Legal Name | GEORGETOWN PHYSICIAN ASSOCIATES LLC |
| Address |
469 Marina Dr Georgetown SC 29440-2410 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 2365697398 |
| Number of Group Practice Members | 96 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420098 | TIDELANDS WACCAMAW COMMUNITY HOSPITAL |
| 420020 | TIDELANDS HEALTH |
| Address | Phone | Organization |
|---|---|---|
| 469 Marina Dr, Georgetown, SC 29440-2410 | GEORGETOWN PHYSICIAN ASSOCIATES LLC | |
| 606 Black River Rd, Suite 300, Georgetown, SC 29440-3304 | 8435463132 | GEORGETOWN PHYSICIAN ASSOCIATES LLC |
| 4040 Hwy 17, Murrells Inlet, SC 29576-5098 | GEORGETOWN PHYSICIAN ASSOCIATES LLC | |
| 4040 Hwy 17 101, Murrells Inlet, SC 29576-5098 | 843652816028168 | GEORGETOWN PHYSICIAN ASSOCIATES LLC |
| 12117 Ocean Hwy, Pawleys Island, SC 29585-7941 | 8432378231 | GEORGETOWN PHYSICIAN ASSOCIATES LLC |
| Organization Legal Name | GEORGETOWN PHYSICIAN ASSOCIATES LLC |
| Physicians | 101 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mylena Ann Yee | Physician Assistant | Georgetown Physician Associates LLC | 2200 Crow Ln, Myrtle Beach, SC 29577-1663 |
| Stephanie Marie Gonshor | Nurse Practitioner | Georgetown Physician Associates LLC | 2347s Hwy 17 Business S, Garden City, SC 29576 |
| Earl James Han | Orthopedic Surgery | Georgetown Physician Associates LLC | 2185 N Fraser St, Georgetown, SC 29440-6418 |
| Erica D Kouns | Nurse Practitioner | Georgetown Physician Associates LLC | 1011 N Fraser St, Georgetown, SC 29440-2848 |
| Melanie Houston Sanders | Family Medicine | Georgetown Physician Associates LLC | 4320 Holmestown Rd, Myrtle Beach, SC 29588-7837 |
| Robert Jason Heineck | Obstetrics/gynecology | Georgetown Physician Associates LLC | 1306 N Fraser St, Georgetown, SC 29440-2800 |
| Michelle Lynn Rottner | Nurse Practitioner | Georgetown Physician Associates LLC | 11916 Hwy 707, Murrells Inlet, SC 29576-9610 |
| Jacob Hurlan Brazee | Internal Medicine | Georgetown Physician Associates LLC | 4301 Dick Pond Rd, Myrtle Beach, SC 29588-6807 |
| Glen Neal Lilly Ii | Physician Assistant | Georgetown Physician Associates LLC | 12117 Ocean Hwy, Pawleys Island, SC 29585-7941 |
| Richard A Philipp Ii | Emergency Medicine | Georgetown Physician Associates LLC | 1075 N Fraser St, Georgetown, SC 29440-2848 |
| Street Address |
469 MARINA DR |
| City | GEORGETOWN |
| State | SC |
| Zip | 29440-2410 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Suzanne M Blakeley | Nurse Practitioner | Patricia R. Grant, Md Pa | 219 Church St, Georgetown, SC 29440-2403 |
| Patricia R Grant | Interventional Pain Management | Patricia R. Grant, Md Pa | 219 Church St, Georgetown, SC 29440-2403 |
| Barbara Lynn Horn-weisgerber | Optometry | Indigo Vision Center Pa | 302 Church St, Georgetown, SC 29440-2406 |
| Owen Cannon Johnson | Optometry | Indigo Vision Center Pa | 302 Church St, Georgetown, SC 29440-2406 |
| Terry L Fry | Otolaryngology | 401 Marina Dr, Georgetown, SC 29440-2410 | |
| Alfred J Daniels | Family Medicine | St. James-santee Family Health Center Inc. | 2020 Highmarket St, Georgetown, SC 29440-2618 |
| Robert Jason Heineck | Obstetrics/gynecology | Georgetown Physician Associates LLC | 1306 N Fraser St, Georgetown, SC 29440-2800 |
| Ashley Marie Miller | Nurse Practitioner | Georgetown Physician Associates LLC | 1306 N Fraser St, Georgetown, SC 29440-2800 |
| Xaviera M Carter | Obstetrics/gynecology | Georgetown Physician Associates LLC | 1306 N Fraser St, Georgetown, SC 29440-2800 |
| Monica Lynn Selander-han | Obstetrics/gynecology | Georgetown Physician Associates LLC | 1306 N Fraser St, Georgetown, SC 29440-2800 |
| Find all physicians in zip 29440 | |||
| City | GEORGETOWN |
| Zip Code | 29440 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | GEORGETOWN + PHYSICIAN ASSISTANT |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.