| NPI | 1053704627 |
|---|---|
| Doing Business As | TIDELANDS HEALTH PAIN MANAGEMENT SERVICES |
| Entity Type | Organization |
| Authorized Contact | ELIZABETH SUTHERLAND WARD EVP & Cfp 843-527-7102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
| Additional Taxonomies | 207L00000X Anesthesiology |
| Enumeration Date | 2015-03-06 |
| Last Update Date | 2020-06-25 |