| NPI | 1811233562 |
|---|---|
| Doing Business As | TIDELANDS HEALTH FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | ELIZABETH SUTHERLAND WARD EVP & CFO 843-527-7102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2012-12-28 |
| Last Update Date | 2020-06-25 |