Tidelands Health Market Common LLC
NPI #1609437961 in Myrtle Beach, South Carolina
Provider Information
- NPI Number
- 1609437961
- Entity Type
- Organization
- Organization Name
- Tidelands Health Market Common LLC
- Primary Specialty
- Clinic/Center - Radiology
- Enumeration Date
- Jun 26, 2019
- Last Updated
- Sep 16, 2020
Practice Location
- Address
- 2200 CROW LN STE 103
- City
- Myrtle Beach
- State
- South Carolina
- ZIP Code
- 29577-1663
- Phone
- (843) 848-5000
Authorized Official
- Name
- ELIZABETH S WARD
- Title
- EVP & CFO
- Phone
- (843) 527-7102
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physiological Laboratory |
| Clinic/Center - Radiology — Radiology |
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