| NPI | 1881410587 |
|---|---|
| Doing Business As | TIDELANDS HEALTH GROUP |
| Entity Type | Organization |
| Authorized Contact | ERIN SHAFFER BEADLE Chief Financial Officer (CFO)/EVP 843-520-8617 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207L00000X Anesthesiology |
| 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine | |
| 207R00000X Internal Medicine | |
| 207RH0003X Internal Medicine, Hematology & Oncology | |
| 207V00000X Obstetrics & Gynecology | |
| 207X00000X Orthopaedic Surgery | |
| 207Y00000X Otolaryngology | |
| 208000000X Pediatrics | |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| 208600000X Surgery | |
| 208800000X Urology | |
| Enumeration Date | 2024-11-26 |
| Last Update Date | 2025-01-13 |