| Tidelands Health Family Medicine | |
|
701 S Morgan Ave Andrews SC 29510 | |
| (843) 264-5253 | |
| (843) 264-5970 |
| Full Name | Tidelands Health Family Medicine |
|---|---|
| Speciality | Clinic/Center |
| Location | 701 S Morgan Ave, Andrews, South Carolina |
| Authorized Official Name and Position | Elizabeth Sutherland Ward (EVP & CFO) |
| Authorized Official Contact | 8435277102 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tidelands Health Family Medicine Po Box 421718 Georgetown SC 29442-4203 Ph: (843) 520-8330 | Tidelands Health Family Medicine 701 S Morgan Ave Andrews SC 29510 Ph: (843) 264-5253 |
| NPI Number | 1104995372 |
|---|---|
| Provider Enumeration Date | 11/06/2006 |
| Last Update Date | 05/01/2020 |
| Medicare PECOS PAC ID | 2365697398 |
|---|---|
| Medicare Enrollment ID | O20141021001385 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104995372 | NPI | - | NPPES |
| RHC068 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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