TIDES GASTROENTEROLOGY, LLC

MT PLEASANT, SC
NPI1437566510
Entity TypeOrganization
Authorized ContactJEFFREY DOROCIAK
President
843-743-4241
Organization Subpart ?No
Primary Taxonomy207RG0100X Internal Medicine, Gastroenterology
Enumeration Date2014-07-21
Last Update Date2014-07-21
Business Address
TIDES GASTROENTEROLOGY, LLC
159 E SHIPYARD RD
MT PLEASANT, SC 29464-2677
Phone number: 843-743-4241
Mailing Address
TIDES GASTROENTEROLOGY, LLC
159 E SHIPYARD RD
MT PLEASANT, SC 29464-2677
Phone number:
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