| Tidelands Health Family Medicine | |
|
4320 Holmestown Rd Ste A Myrtle Beach SC 29588-7837 | |
| (843) 652-8440 | |
| (843) 652-8441 |
| Full Name | Tidelands Health Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 4320 Holmestown Rd Ste A, Myrtle Beach, South Carolina |
| Authorized Official Name and Position | Elizabeth Sutherland Ward (EVP & CFO) |
| Authorized Official Contact | 8435277102 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tidelands Health Family Medicine Po Box 421718 Georgetown SC 29442-4203 Ph: (843) 520-8883 | Tidelands Health Family Medicine 4320 Holmestown Rd Ste A Myrtle Beach SC 29588-7837 Ph: (843) 652-8440 |
| NPI Number | 1780118414 |
|---|---|
| Provider Enumeration Date | 04/19/2017 |
| Last Update Date | 05/01/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780118414 | NPI | - | NPPES |
| GP7739 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (South Carolina) | Primary |
Southeastern Hospitalist Services Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 809 82nd Pkwy, Myrtle Beach, SC 29572 Phone: 843-692-1000 | |
Traditions Health Of Augusta Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 215 Ronnie Ct Ste D, Myrtle Beach, SC 29579 Phone: 843-504-3421 Fax: 843-504-3422 | |
Strand Regional Specialty Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8170 Rourk St, Myrtle Beach, SC 29572 Phone: 843-449-2336 Fax: 843-497-2505 | |
Healogics Specialty Physicians Of South Carolina, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5050 Highway 17 Byp S, Myrtle Beach, SC 29588 Phone: 843-839-6000 | |
Carolina Health Specialists Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4591 Socastee Blvd, Myrtle Beach, SC 29588 Phone: 843-497-5929 Fax: 843-293-1115 | |
La Bella Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2020 Oakheart Rd, Myrtle Beach, SC 29579 Phone: 843-424-3015 | |
Jga Medical Ventures, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4798 Woodview Ln, Myrtle Beach, SC 29575 Phone: 843-828-3352 Fax: 843-357-1471 |