| NPI | 1477163988 |
|---|---|
| Doing Business As | TIDELANDS HEALTH ENDOCRINOLOGY |
| Entity Type | Organization |
| Authorized Contact | ELIZABETH SUTHERLAND WARD EVP & CFO 843-527-7102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2020-08-10 |
| Last Update Date | 2020-08-10 |