| NPI | 1649944414 |
|---|---|
| Doing Business As | TIDELANDS HEALTH VASCULAR SURGERY |
| Entity Type | Organization |
| Authorized Contact | ELIZABETH SUTHERLAND WARD EVP & CFO 843-527-7102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X |
| Enumeration Date | 2021-08-05 |
| Last Update Date | 2021-08-19 |