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Robert Whitehead, III

Male

Medical Specialty

Diagnostic Radiology

Professional ID

NPI: 1144280165
PECOS ID: 5193809226
Enrollment ID: I20100323000800
Credential(MD, DO, DPM):
Medical School: Medical University Of South Carolina College Of Medicine
Medical School Graduation Year: 1986

Hospital Service

Hospital CCN1: 420098
Business Name (LBN)1: Waccamaw Community Hospital
Hospital CCN2: 420020
Business Name (LBN)2: Georgetown Memorial Hospital
Hospital CCN3: 420085
Business Name (LBN)3: Grand Strand Regional Medical Center
Hospital CCN4: 420004
Business Name (LBN)4: Musc Medical Center

Medical Practices

Organization Name: Georgetown Radiology
Group Practice ID assigned by PECOS: 1153405360
Number of Group Practice member: 9

Location

Address1: 4070 Hwy 17
Address2:
City: Murrells Inlet
State: South Carolina
Zip Code: 29576
Phone Number: (843)527-7441

Location

Address1: 606 Black River Rd
Address2:
City: Georgetown
State: South Carolina
Zip Code: 29440
Phone Number: (843)527-7441

Medicare

Medicare Assignment: Yes
Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
Used Electronic health record (EHR):