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 |