| NPI | 1104995372 |
|---|---|
| Doing Business As | TIDELANDS HEALTH FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | ELIZABETH SUTHERLAND WARD EVP & CFO 843-527-7102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2020-05-01 |