| NPI | 1326655333 |
|---|---|
| Doing Business As | TIDELANDS HEALTH ENT ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | ELIZABETH SUTHERLAND WARD EVP & CFO 843-527-7102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Enumeration Date | 2020-09-24 |
| Last Update Date | 2020-10-13 |