| NPI | 1083275366 |
|---|---|
| Doing Business As | TIDELANDS HEALTH IMAGING |
| Entity Type | Organization |
| Authorized Contact | ELIZABETH S WARD EVP & CFO 843-527-7102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 293D00000X Physiological Laboratory |
| Additional Taxonomies | 261QR0200X Clinic/Center Radiology |
| Enumeration Date | 2019-06-26 |
| Last Update Date | 2019-09-11 |