| Tidelands Health Family Medicine | |
|
456 N Main St Hemingway SC 29554 | |
| (843) 558-9319 | |
| (843) 558-9818 |
| Full Name | Tidelands Health Family Medicine |
|---|---|
| Speciality | Clinic/Center |
| Location | 456 N Main St, Hemingway, 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 456 N Main St Hemingway SC 29554 Ph: (843) 558-9319 |
| NPI Number | 1588716815 |
|---|---|
| Provider Enumeration Date | 01/17/2007 |
| Last Update Date | 05/01/2020 |
| Medicare PECOS PAC ID | 2365697398 |
|---|---|
| Medicare Enrollment ID | O20141021000802 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588716815 | NPI | - | NPPES |
| RHC168 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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