| NPI | 1720597743 |
|---|---|
| Doing Business As | TIDELANDS HEALTH FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | ELIZABETH WARD EVP & CFO 843-527-7102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: SC PENDING) |
| Enumeration Date | 2017-09-21 |
| Last Update Date | 2020-06-15 |