| Doctor Name: | MRS. GEORGIA LYNN PLUM |
| NPI Number: | 1467448027 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN |
| License Number: | 18205 |
| Business Practice Address: | 4303 Live Oak Dr Little River, SC - 295669138 |
| Business Phone Number: | 8436638000 |
| Business Fax Number: | |
| Mailing Address: | Po Box 547, LITTLE RIVER |
| State: | SC |
| Postal Code: | 295660547 |
| Phone Number: | 8436638000 |
| Fax Number: | |
| NPI Enumeration Date: | 09/20/2005 |
| NPI Last Update Date: | 03/24/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | 18205 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SC |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |