| NPI | 1275377558 |
|---|---|
| Doing Business As | TIDELANDS HEALTH PEDIATRICS AND ADULT MEDICINE |
| Entity Type | Organization |
| Authorized Contact | ELIZABETH SUTHERLAND WARD Chief Financial Officer (CFO)/EVP 843-527-7102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2024-06-21 |
| Last Update Date | 2024-06-21 |