| NPI | 1093139420 |
|---|---|
| Doing Business As | TIDELANDS HEALTH GASTROENTEROLOGY |
| Entity Type | Organization |
| Authorized Contact | ELIZABETH SUTHERLAND WARD EVP & CFO 843-527-7102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2014-02-05 |
| Last Update Date | 2020-06-25 |